Individual
JESSICA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SEQUOYAH RD, SODDY DAISY, TN 37379-5154
(423) 332-0979
Mailing address
222 SEQUOYAH RD, SODDY DAISY, TN 37379-5154
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
5703
TN
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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