Individual
ABIGAIL JAIDEN LEREA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 NECTAR DR OOZLEY HOLLOW RD, BRADSHAW, WV 24817
(336) 413-9831
Mailing address
53 NECTAR DR OOZLEY HOLLOW RD, BRADSHAW, WV 24817
(336) 413-9831
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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