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Glen Pendergrass
NPI 1558847814 · on the registry since 2018 · sole proprietor
Practice
- Address
- 16358 Jackson Ave
Lemoore, CA 93245 - Phone
- (559) 362-0624
- Organisation at this address
- Shuttle Comfort Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Male
- Record last updated
- 2018-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California