Individual
DAVID TIONGCO PRESTOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 N 11TH ST., IM INTERNAL MEDICINE, RICHMOND, VA 23298
(804) 828-8786
Mailing address
PO BOX 980509, IM INTERNAL MEDICINE, RICHMOND, VA 23298
(804) 828-9726
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116022441
VA
Other
Enumeration date
06/10/2010
Last updated
07/22/2010
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