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MS. MELANIE BALESTRA N.P.

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1689790727

Individual Registrant:
MS. MELANIE  BALESTRA N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
362 THIRD STREET  LAUGNA BEACH, CA 92651 US
Tel: 949-494-0761  Fax: 949-494-3514

Contact information for business:
36 SANTA COMBA  IRVINE, CA 92606-8898 US
Tel: 949-733-3573  Fax: 949-451-5845

Registration Information:
NPI: 1689790727
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
CA1729860

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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