Individual
JOHN VER FRANCISCO PRUDENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9343 TECH CENTER DR STE 110, SACRAMENTO, CA 95826-2592
(408) 465-8280
Mailing address
18225 HALE AVE, MORGAN HILL, CA 95037-3547
(408) 465-8280
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
734104
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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