Individual
STEPHANIE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 DUBLIN AVE APT 706, MIDLAND, MI 48640-3133
(989) 750-2767
Mailing address
5301 DUBLIN AVE APT 706, MIDLAND, MI 48640-3133
(989) 750-2767
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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