Individual
DAWANDA R PESICKA
Active
Individual
DAWANDA R PESICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004567
WA
363AM0700X
Medical Physician Assistant
PA.0002983
CO
363AS0400X
Surgical Physician Assistant
10721
MN
363AS0400X
Surgical Physician Assistant
Primary
PA.0002983
CO
363AS0400X
Surgical Physician Assistant
PA10004567
WA
Other
Enumeration date
05/17/2006
Last updated
08/12/2025
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