Individual
MR. ROBERT LEIGH PRUITT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MM, HHP
Contact information
Practice address
9202 MONTPELIER DR, LAUREL, MD 20708-2552
(888) 264-1285
Mailing address
9202 MONTPELIER DR, LAUREL, MD 20708-2552
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
219573902
MD
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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