Search › California › 163WP0808X
Thavarat Pruitt
NPI 1497875827 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5825 E Camino Manzano
Anaheim, CA 92807 - Phone
- (714) 396-7421
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-06
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