Individual
CHARLES BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4348 S JEFFREY DR STE 101, BATON ROUGE, LA 70816
(225) 361-0291
Mailing address
2419 S MAGNOLIA DR, BAKER, LA 70714-3323
(225) 361-0291
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
06/19/2018
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