Provider Demographics
NPI:1881075695
Name:PENDLETON, YVETTE
Entity type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:PENDLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:ZIEGLER-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HT
Mailing Address - Street 1:30 LOTUS CIR N
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6320
Mailing Address - Country:US
Mailing Address - Phone:856-981-1082
Mailing Address - Fax:
Practice Address - Street 1:30 LOTUS CIRCLE N
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701
Practice Address - Country:US
Practice Address - Phone:302-365-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RH0600XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyHistology