Individual
DEQUITA W PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
856 WAYSIDE RD, CLEVELAND, OH 44110-2960
(216) 233-8529
Mailing address
856 WAYSIDE RD, CLEVELAND, OH 44110-2960
(216) 233-8529
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400894740409
OHIO NURSE AIDE REGISTRY
OH
Enumeration date
02/12/2021
Last updated
02/12/2021
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