Individual
JULIEANN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16331 HERITAGE PL STE 101, EAGLE RIVER, AK 99577-7753
(907) 350-8893
Mailing address
9529 NOAK CIR, EAGLE RIVER, AK 99577-8515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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