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Glenda Prudencio, PA-C
Medical Physician Assistant in Glenn Dale, Maryland
NPI 1902273584

Glenda Prudencio is a Medical Physician Assistant based in Washington, MD and is specialized in Medical. Glenda Prudencio practices in Glenn Dale, MD and has the professional credentials of PA-C. The NPI Number for Glenda Prudencio is 1902273584 and holds a License No. 0110-005091 (Maryland).

The current practice location address for Glenda Prudencio is 12150 Annapolis Rd Ste 308, Glenn Dale, MD and can be reached out via phone at 301-805-0006.

Location: 12150 Annapolis Rd Ste 308, Glenn Dale, MD, 20018-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902273584
Provider Name
Glenda Prudencio
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
12150 Annapolis Rd Ste 308, Glenn Dale, MD, 20018-2004
Phone Number
301-805-0006
Fax Number
Provider Enumeration Date
08/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12150 Annapolis Rd Ste 308
City
Glenn Dale
State
Maryland
Zip
20769-9183
Phone Number
301-805-0006
Fax Number
person
Provider Business Mailing Address Details
Address
12150 Annapolis Rd Ste 308
City
Glenn Dale
State
Maryland
Zip
20769-9183
Phone Number
301-805-0006
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0110-005091 (Virginia)
Definition
Definition to come...
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