Most Relevant Information
Provider Data
| NPI Number: | 1003023102 |
| Provider Name: | MAY PRUNES |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL
AK
99559
Practice Location Phone/Fax
| Phone: | 9075436300 |
| Fax: | 9075436366 |
Provider Mailing Location
PO BOX 528
BETHEL
AK
995590528
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |