Individual
VENITA CARLO PRUDENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
20 RITA DR, PARSIPPANY, NJ 07054-3820
(973) 682-2815
(973) 682-2855
Mailing address
6 PETER DR, HACKETTSTOWN, NJ 07840-4659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00033700
NJ
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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