Individual
MONICA L PRUDENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-9350
(804) 807-7949
Mailing address
VCUHS GMEA, BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0116036694
VA
Other
Enumeration date
04/22/2022
Last updated
06/05/2024
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