| NPI | 1285497479 |
|---|---|
| Other Name | LUKE PENDERGRASS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-04-12 |