Shenise Lastine Pruitt
Shenise Lastine Pruitt is a Contractor in Olivette, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
Practice location Address checks out
9648 Olive BlvdOlivette, MO 63132-3002
Phone: (314) 641-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X (MO) |
|---|
Record details
| NPI number | 1477879351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 16, 2010 |
| Last updated in NPPES | April 16, 2010 |