Individual
LISA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(442) 282-4909
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
(442) 282-4909
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-EBFQJL
CA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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