Individual
KAITLIN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 ROCKLEDGE DR, BETHESDA, MD 20817-1809
(301) 581-8030
Mailing address
2407 DREXEL ST, VIENNA, VA 22180-6903
(703) 347-2319
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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