Individual
MS. BRENDA MARIA PRUDENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3580 WILSHIRE BLVD STE. 800, LOS ANGELES, CA 90010-2804
(213) 637-5000
(213) 637-5001
Mailing address
3580 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90010-2505
(213) 637-5000
(213) 637-5001
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
05/13/2013
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