Individual
CRYSTAL LEANN PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 N MICHIGAN AVE, WELLSTON, OH 45692-1038
(740) 418-7722
Mailing address
318 N MICHIGAN AVE, WELLSTON, OH 45692-1038
(740) 418-7722
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SH677096
OH
Other
Enumeration date
12/29/2020
Last updated
09/11/2025
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