Individual
VICKI BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
26254 NE BARRETT RD, KINGSTON, WA 98346-9342
(425) 773-5012
Mailing address
26254 NE BARRETT RD, KINGSTON, WA 98346-9342
(425) 773-5012
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00068650
WA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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