Individual
SHANTEISHA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1700 E COLD SPRING LN, HILL FIELD HOUSE LL119, BALTIMORE, MD 21251-0001
(443) 885-3486
Mailing address
1700 E COLD SPRING LN, HILL FIELD HOUSE LL119, BALTIMORE, MD 21251-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000491
MD
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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