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Individual

LAURA A BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, CNS, ANP-BC

Contact information

Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-6277
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-6277

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
531287
CA
363L00000X
Nurse Practitioner
Primary
16389
CA
364S00000X
Clinical Nurse Specialist
2476
CA

Other

Enumeration date
11/17/2006
Last updated
03/25/2014
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