Individual
ELLEN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 CLAIBORNE SQ E, HAMPTON, VA 23666-2071
(888) 964-6681
(888) 662-0859
Mailing address
4410 CLAIBORNE SQ E, HAMPTON, VA 23666-2071
(888) 964-6681
(888) 662-0859
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402209077
VA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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