Individual
MARIE ANTIONETTE PRUITT- GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4607 E 104TH ST, GARFIELD HEIGHTS, OH 44125-1563
(216) 854-2857
Mailing address
4607 E 104TH ST, GARFIELD HEIGHTS, OH 44125-1563
(216) 854-2857
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
185068
OH
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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