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Thavarat Pruitt
Psychiatric/Mental Health Registered Nurse in Anaheim, California
NPI 1497875827

Thavarat Pruitt is a Psychiatric/Mental Health Registered Nurse based in Anaheim, CA and is specialized in Psychiatric/Mental Health. Thavarat Pruitt practices in Anaheim, CA. The NPI Number for Thavarat Pruitt is 1497875827 and holds a License No. RN499241 (California).

The current practice location address for Thavarat Pruitt is 5825 E Camino Manzano, Anaheim, CA and can be reached out via phone at 714-396-7421.

Location: 5825 E Camino Manzano, Anaheim, CA, 92807-3254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497875827
Provider Name
Thavarat Pruitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
5825 E Camino Manzano, Anaheim, CA, 92807-3254
Phone Number
714-396-7421
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5825 E Camino Manzano
City
Anaheim
State
California
Zip
92807-3254
Phone Number
714-396-7421
Fax Number
person
Provider Business Mailing Address Details
Address
5825 E Camino Manzano
City
Anaheim
State
California
Zip
92807-3254
Phone Number
714-396-7421
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
RN499241 (California)
Definition
Definition to come...
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