Individual
TAMMY LATRECE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 CHAYES CT APT E, HOMEWOOD, IL 60430-2924
(708) 545-7223
Mailing address
2730 CHAYES CT APT E, HOMEWOOD, IL 60430-2924
(708) 545-7223
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
IL
376J00000X
Homemaker
—
IL
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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