SearchMissouriContractor

Shenise Pruitt

NPI 1477879351 · on the registry since 2010

Practice

Address
9648 Olive Blvd
Olivette, MO 63132
Phone
(314) 641-9930

Registry record

Primary taxonomy
Contractor
171W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-16

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 Missouri