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Individual

RIONA LASHA PRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11053 AMBURG CT, INDIANAPOLIS, IN 46235-9753
(317) 628-6208
Mailing address
11053 AMBURG CT, INDIANAPOLIS, IN 46235-9753
(317) 628-6208

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
24-017205-1
IN
376J00000X
Homemaker
Primary
24-017205-1
IN

Other

Enumeration date
07/25/2024
Last updated
09/03/2024
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