Individual
KIMBERLY PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37720 SCOTSDALE CIR APT 301, WESTLAND, MI 48185-5715
(734) 334-6199
Mailing address
37720 SCOTSDALE CIR APT 301, WESTLAND, MI 48185-5715
(734) 334-6199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084966
MI
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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