JACEY LAYNE PRUITT

SAN DIEGO, CA
NPI1346191459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2026-02-05
Last Update Date2026-02-05
Business Address
JACEY LAYNE PRUITT
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-9712
Mailing Address
JACEY LAYNE PRUITT
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number:
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