TICCO DARRELL PRUITT

MEMPHIS, TN
NPI1982973947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2011-12-21
Last Update Date2011-12-21
Business Address
Mr. TICCO DARRELL PRUITT
3030 COVINGTON PIKE SUITE 180
MEMPHIS, TN 38128-5048
Phone number: 901-870-2670
Mailing Address
Mr. TICCO DARRELL PRUITT
3030 COVINGTON PIKE SUITE 180
MEMPHIS, TN 38128-5048
Phone number: 901-870-2670
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