Abigail Jaiden Lerea Pruitt
NPI #1942017157 in Bradshaw, West Virginia
Provider Information
- NPI Number
- 1942017157
- Entity Type
- Individual
- Name
- Abigail Jaiden Lerea Pruitt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 12, 2024
- Last Updated
- Dec 12, 2024
Practice Location
- Address
- 53 NECTAR DR OOZLEY HOLLOW RD
- City
- Bradshaw
- State
- West Virginia
- ZIP Code
- 24817
- Phone
- (336) 413-9831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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