GLEN PENDERGRASS NPI 1558847814

NPI Information

Glen Pendergrass is a non emergency medical transport van in Lemoore, CA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Glen Pendergrass NPI is 1558847814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16358 JACKSON AVE
LEMOORE, CA
ZIP 93245-140
Phone: (559) 362-0624

The enumeration date for this NPI number is 7/19/2018 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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