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)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