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Glen Pendergrass
Non-emergency Medical Transport (VAN) in Lemoore, California
NPI 1558847814

Glen Pendergrass is a Non-emergency Medical Transport (VAN) based in Lemoore, CA. Glen Pendergrass practices in Lemoore, CA. The NPI Number for Glen Pendergrass is 1558847814 and holds a License No. (California).

The current practice location address for Glen Pendergrass is 16358 Jackson Ave, Lemoore, CA and can be reached out via phone at 559-362-0624.

Location: 16358 Jackson Ave, Lemoore, CA, 93245-9140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558847814
Provider Name
Glen Pendergrass
Credential
Provider Entity Type
Individual
Gender
Male
Address
16358 Jackson Ave, Lemoore, CA, 93245-9140
Phone Number
559-362-0624
Fax Number
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16358 Jackson Ave
City
Lemoore
State
California
Zip
93245-9140
Phone Number
559-362-0624
Fax Number
person
Provider Business Mailing Address Details
Address
16358 Jackson Ave
City
Lemoore
State
California
Zip
93245-9140
Phone Number
559-362-0624
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
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.
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