Individual
HANNAH MENDOZA PRUDENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO MEDICAL STUDENT
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
3856 MICHAELS LANDING CIR E, JACKSONVILLE, FL 32224-8677
(904) 322-1737
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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