JOHN PRUITT

SHREVEPORT, LA
NPI1245974310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
JOHN PRUITT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Mailing Address
JOHN PRUITT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: