TRACY PRUETT

SAN BERNARDINO, CA
NPI1093266371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-20
Last Update Date2016-10-20
Business Address
-- TRACY PRUETT
1135 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-381-3774
Mailing Address
-- TRACY PRUETT
1135 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-381-3774