Individual
EMILEE ANN PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RCSN
Contact information
Practice address
895 WEST ST, PORTOLA, CA 96122-6502
(530) 832-0211
Mailing address
895 WEST ST, PORTOLA, CA 96122-6502
(530) 832-0211
(530) 832-0667
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95090488
CA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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