Individual
SHEENA PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
22201 MERIDIAN E, GRAHAM, WA 98338-8987
(253) 846-9455
(253) 846-9462
Mailing address
22907 46TH AVE E, SPANAWAY, WA 98387-6106
(253) 286-9169
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00066206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
WA
01
—
NONE
NONE
—
Enumeration date
07/30/2021
Last updated
07/30/2021
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