Individual
DR. PRUDENCIO MENDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 KINGSBOROUGH SQ, SUITE A, CHESAPEAKE, VA 23320-4988
(757) 362-2529
Mailing address
1412 FENTRESS RD, CHESAPEAKE, VA 23322-3930
(757) 362-2529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101-040834
VA
Other
Enumeration date
12/05/2006
Last updated
03/07/2023
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