Individual
MRS. MELINDA SUE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 LONDON LN, BECKLEY, WV 25801-8012
(304) 253-1859
Mailing address
112 LONDON LN, BECKLEY, WV 25801-8012
(304) 253-1859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51750
WV
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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