Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN PENDERGRASS
Active Sole ProprietorGLEN PENDERGRASS is a Bus healthcare provider located in LEMOORE, California. NPI 1558847814 is currently active in the NPPES registry. Verify at CMS.
Bus · LEMOORE, CA
Registration Details
- NPI Number
- 1558847814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2018 (8.0628014671301 yrs)
- Last Updated
- Jul 19, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
16358 JACKSON AVELEMOORE, CA, 932459140Browse CA providers · Browse ZIP 93245
- Phone
- 5593620624
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in LEMOORE, CA
| Name | Credential | NPI |
|---|---|---|
| SUKHPAL KAUR | — | 1033669007 |
| ANTHONY AGBAGWU | — | 1194424515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.