Individual
DR. LEESA SIMANTON BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
119 CALLE DE LAS ROSAS, RANCHO MIRAGE, CA 92270-8001
(760) 578-3601
Mailing address
119 CALLE DE LAS ROSAS, RANCHO MIRAGE, CA 92270-8001
(760) 578-3601
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP95014445
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95014445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPLICENSE
DO NOT HAVE
CA
Enumeration date
04/06/2021
Last updated
04/06/2021
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