Individual
ELAINE PENDOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4750 DATE AVE, LA MESA, CA 91942-9214
(619) 668-5700
Mailing address
3321 GRANADA AVE, SAN DIEGO, CA 92104-4525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
577145
CA
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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