Individual
MR. DAMON PENDYGRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1925 LINCOLN DR, FLINT, MI 48503-4718
(870) 490-2625
Mailing address
1925 LINCOLN DR, FLINT, MI 48503-4718
(870) 490-2625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703095631
MI
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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