Individual
DUSTIN LEE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
14 EDGEMONT, COMPTON, CA 90221-3824
(619) 948-5934
Mailing address
14 EDGEMONT, COMPTON, CA 90221-3824
(619) 948-5934
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95036000
CA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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