Individual
DR. MICHELE DELL-PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC
Contact information
Practice address
822 W LAKE AVE, BALTIMORE, MD 21210-1241
(410) 377-5192
Mailing address
3301 RALPH DELL RD, HAMPSTEAD, MD 21074-1131
(615) 427-1077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000683
MD
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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