Individual
JESSIE RAYLENE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT RCP
Contact information
Practice address
6652 CANYON DR, #3, AMARILLO, TX 79109-7011
(806) 322-0941
(806) 322-0942
Mailing address
6652 CANYON DR, #3, AMARILLO, TX 79109-7011
(806) 322-0941
(806) 322-0942
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
59508
TX
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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