Individual
MELISSA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-3599
Mailing address
PO BOX 471, BOULDER, CO 80306-0471
(303) 441-3599
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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