Richard Alexander Prudencio
ActiveCalifornia license A111095
License
- Licensed by
- Medical Board of California
- License number
- A111095
- Status
- Active (Current)
- First issued
- February 10, 2010
- Expires
- July 31, 2027
- License holder
- Richard Alexander Prudencio
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Dept of Internal Medicine
9961 Sierra Ave
Fontana, CA 92335-6720
9961 Sierra Ave
Fontana, CA 92335-6720
San Bernardino County