KHADIJAH PRUITT

DETROIT, MI
NPI1508582396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704315058)
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
KHADIJAH PRUITT
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
KHADIJAH PRUITT
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000