Individual
AMANDA PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17323 KINGSBROOKE CIR, CLINTON TOWNSHIP, MI 48038-3752
(248) 632-2416
Mailing address
17323 KINGSBROOKE CIR, CLINTON TOWNSHIP, MI 48038-3752
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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