Individual
NUHSHAUMMIE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13525 MARION, REDFORD, MI 48239-4508
(313) 704-5640
Mailing address
13525 MARION, REDFORD, MI 48239-4508
(313) 704-5640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111503
MI
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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