Individual
MISTY BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 ROSEMONT DR, DESOTO, TX 75115-1505
(469) 831-2064
Mailing address
1204 ROSEMONT DR, DESOTO, TX 75115-1505
(469) 831-2064
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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