Male or Other

Ja'Vius Pruitt

Attendant Care Provider in Birmingham, AL(View on Map)

Full Name

Ja'Vius Pruitt

NPI Number

1770367187

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/24/2023

Specialties

(Taxonomies)

Code

3747A0650X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

PX3Y2J5W5

Contact
Information

Purpose

Mailing
Location

Address

1921 15TH ST SW
1921 15TH ST SW

City

Birmingham
Birmingham

State

AL
AL

Postal Code

35211-5028
35211-5028

Country

US
US

Telephone Number

(205) 565-9139
(205) 565-9139

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/24/2023

Provider Address

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