DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROSHAWON LATICE PRUITT, AA, DSP I

Active Sole Proprietor

ROSHAWON LATICE PRUITT, AA, DSP I is a Community Health Worker healthcare provider located in LONG BEACH, California. NPI 1710350145 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · LONG BEACH, CA

Registration Details

NPI Number
1710350145
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2015 (10.74462876392 yrs)
Last Updated
Nov 6, 2015
Sole Proprietor
Yes

Practice Information

Address
735 CEDAR AVE APT 1
LONG BEACH, CA, 908134262
Browse CA providers · Browse ZIP 90813
Phone
5626064314
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
School Social Worker
Additional Specialty
Case Manager
Additional Specialty
Driver
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in LONG BEACH, CA

Name Credential NPI
ALVARO JESUS GOMEZ 1063593648
RENA BO 1215003223
MRS. ETTA LIM CHUNG 1700952926
MRS. RHONDA ELAINE HOYT 1407923188
MRS. KATHY POCK-TRUJILLO 1386762771
ROCHELLE JOHNSON 1063530186
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.