Individual
DASHARA P BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 HIGHWAY 84 W, COLLINS, MS 39428-4929
(769) 223-2803
Mailing address
6116 N WILLIAMSBURG RD, BASSFIELD, MS 39421-4111
(769) 223-2803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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