Charles Gregory Pendarvis JR.
NPI #1184349847 in Susanville, California
Provider Information
- NPI Number
- 1184349847
- Entity Type
- Individual
- Name
- Charles Gregory Pendarvis JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Management
- Enumeration Date
- Oct 5, 2022
- Last Updated
- Oct 5, 2022
Practice Location
- Address
- 555 HOSPITAL LN
- City
- Susanville
- State
- California
- ZIP Code
- 96130-4808
- Phone
- (530) 251-8108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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