ROSHAWON LATICE PRUITT

LONG BEACH, CA
NPI1710350145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
1041S0200X Social Worker, School
171M00000X Case Manager/Care Coordinator
172A00000X Driver
174400000X Specialist
Enumeration Date2015-11-06
Last Update Date2015-11-06
Business Address
-- ROSHAWON LATICE PRUITT AA, DSP I
735 CEDAR AVE APT 1
LONG BEACH, CA 90813-4262
Phone number: 562-606-4314
Mailing Address
-- ROSHAWON LATICE PRUITT AA, DSP I
735 CEDAR AVE APT 1
LONG BEACH, CA 90813-4262
Phone number: 562-606-4314