Individual
CHRISTOPHER PRUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 ROTANZI ST, RAMONA, CA 92065-2583
(760) 736-6780
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34564
LICENSE
CA
Enumeration date
03/17/2020
Last updated
03/17/2020
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