Thavarat Pruitt
Thavarat Pruitt is a Psychiatric/Mental Health Registered Nurse in Anaheim, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
5825 E Camino ManzanoAnaheim, CA 92807-3254
Phone: (714) 396-7421
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Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence RN499241 (CA) |
|---|
Record details
| NPI number | 1497875827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | May 6, 2009 |
| Mailing address | 5825 E Camino Manzano, Anaheim, CA 92807-3254 |
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