Individual provider · Type 1 NPI

Eric Neal Pendergrass Jr., DO. LPN

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1841049004 Active

Practice location

1400 Florida Ave Ste 102
Modesto, CA 95350-4446

Call (209) 573-6180 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1841049004

Eric Neal Pendergrass Jr., DO. LPN's National Provider Identifier is 1841049004, issued on May 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on May 17, 2024.