THAVARAT PRUITT

ANAHEIM, CA
NPI1497875827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  RN499241)
Enumeration Date2007-03-30
Last Update Date2009-05-06
Business Address
-- THAVARAT PRUITT
5825 E CAMINO MANZANO
ANAHEIM, CA 92807-3254
Phone number: 714-396-7421
Mailing Address
-- THAVARAT PRUITT
5825 E CAMINO MANZANO
ANAHEIM, CA 92807-3254
Phone number: 714-396-7421
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