JACQUELINE MARIE PENDERGRASS

FLORENCE, OR
NPI1447570437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  200630279LPN)
Enumeration Date2010-06-02
Last Update Date2010-12-27
Business Address
Mrs. JACQUELINE MARIE PENDERGRASS LPN
1255 LAUREL STREET
FLORENCE, OR 97439-0119
Phone number: 541-997-4015
Mailing Address
Mrs. JACQUELINE MARIE PENDERGRASS LPN
PO BOX 1839
FLORENCE, OR 97439-0119
Phone number: 541-997-4015