Glen Pendergrass
NPI #1558847814 in Lemoore, California
Provider Information
- NPI Number
- 1558847814
- Entity Type
- Individual
- Name
- Glen Pendergrass
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 19, 2018
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 16358 JACKSON AVE
- City
- Lemoore
- State
- California
- ZIP Code
- 93245-9140
- Phone
- (559) 362-0624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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