Mylissa Pruiett

NPI #1255780243 in Silverlake, Washington

Provider Information

NPI Number: 1255780243
Entity Type: Individual
Name: Mylissa Pruiett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 9, 2016
Last Updated: Jun 9, 2016

Practice Location

Address: 4220 SPIRIT LAKE HWY
City: Silverlake
State: Washington
ZIP Code: 98645-9796
Phone: (360) 353-8187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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