Individual
MRS. JUDITH JANELL PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
607 MEDICAL ARTS BUILDING, 1211 21ST AVENUE, SOUTH, NASHVILLE, TN 37232-1320
(615) 936-3952
Mailing address
4207 IDAHO AVE, NASHVILLE, TN 37209-3621
(615) 298-4840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000001143
TN
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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