Individual
DR. IVY PRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 S PARK LOOP RD, JACKSON, WY 83001-9500
(307) 690-7603
Mailing address
1402 S PARK LOOP RD, JACKSON, WY 83001-9500
(307) 690-7603
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/27/2021
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