Search › California › 1710I1002X
Jackson Pruett
NPI 1407634272 · on the registry since 2023 · sole proprietor
Practice
- Address
- Bldg 4101, El Camino Real
Fpo, Aa, CA 92058 - Phone
- (760) 725-1288
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2023-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California