Individual
CRYSTAL NICOLE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11370 ANDERSON ST STE 3900, LOMA LINDA, CA 92354-3450
(909) 558-2806
Mailing address
11370 ANDERSON ST STE 3900, LOMA LINDA, CA 92354-3450
(909) 558-2806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A143165
CA
Other
Enumeration date
04/23/2014
Last updated
07/11/2025
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