MIA PENDERGRASS

NORFOLK, VA
NPI1699170043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: VA  2201001575)
Enumeration Date2014-10-28
Last Update Date2015-01-07
Business Address
-- MIA PENDERGRASS
600 GRESHAM DR 1100
NORFOLK, VA 23507-1904
Phone number: 757-388-6234
Mailing Address
-- MIA PENDERGRASS
PO BOX 936 EVMS MEDICAL GROUP
NORFOLK, VA 23501-0936
Phone number: 757-388-6200