Individual
MARKEANNE LASHA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 ARMY BLVD STE 2018, JBSA FT SAM HOUSTON, TX 78234-2686
(210) 221-0829
Mailing address
1811 ARMY BLVD STE 2018, JBSA FT SAM HOUSTON, TX 78234-2686
(210) 221-0829
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
05/25/2022
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