MIA PENDERGRASS

Audiologist

Active Individual
NPI: 1699170043

Practice Address

600 GRESHAM DR
1100
Norfolk, VA 23507

Phone: (757) 388-6234

Specialties

Specialty Code Primary License
Audiologist 231H00000X Yes 2201001575 (VA)

Frequently Asked Questions

NPI 1699170043 is the National Provider Identifier for MIA PENDERGRASS, a Audiologist provider located in Norfolk, VA. This NPI was enumerated on October 28, 2014.
MIA PENDERGRASS practices at 600 GRESHAM DR, 1100, Norfolk, VA 23507.

Quick Facts

NPI
1699170043
Type
Individual
Enumerated
Oct 28, 2014
Last Updated
Jan 7, 2015

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