Individual
LESLEE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 LOVING HWY, GRAHAM, TX 76450-2115
(940) 282-0334
Mailing address
700 LOVING HWY, GRAHAM, TX 76450-2115
(940) 282-0334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
827043
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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