Individual
SANDRA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 W DINEH DR, PRESCOTT, AZ 86305-3910
(928) 420-2859
Mailing address
1941 W DINEH DR, PRESCOTT, AZ 86305-3910
(928) 420-2859
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
80-608160
AZ
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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