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Shenise Lastine Pruitt
Contractor in Olivette, Missouri
NPI 1477879351

Shenise Lastine Pruitt is a Contractor based in Olivette, MO. Shenise Lastine Pruitt practices in Olivette, MO. The NPI Number for Shenise Lastine Pruitt is 1477879351 and holds a License No. (Missouri).

The current practice location address for Shenise Lastine Pruitt is 9648 Olive Blvd, Olivette, MO and can be reached out via phone at 314-641-9930.

Location: 9648 Olive Blvd, Olivette, MO, 63132-3002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477879351
Provider Name
Shenise Lastine Pruitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
9648 Olive Blvd, Olivette, MO, 63132-3002
Phone Number
314-641-9930
Fax Number
Provider Enumeration Date
04/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9648 Olive Blvd
City
Olivette
State
Missouri
Zip
63132-3002
Phone Number
314-641-9930
Fax Number
person
Provider Business Mailing Address Details
Address
9648 Olive Blvd
City
Olivette
State
Missouri
Zip
63132-3002
Phone Number
314-641-9930
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
(Missouri)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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