Individual
REBECCA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(208) 993-9234
Mailing address
13 E KIM ST, SALMON, ID 83467-5092
(832) 443-9688
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
61535375
WA
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
03/25/2024
Last updated
04/09/2025
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