MELANIE G. PETCHAK

SHREVEPORT, LA
NPI1336363845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LS0200X Nurse Practitioner, School
(Licence: LA  03820)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- MELANIE G. PETCHAK NP-BC
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106-4231
Phone number: 318-861-1671
Mailing Address
-- MELANIE G. PETCHAK NP-BC
1 SAINT MARY PL
SHREVEPORT, LA 71101-4343
Phone number: 318-861-1671
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