Individual
ROSE M BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8650 MORAN PL ACE, SAINT LOUIS, MO 63114-4437
(314) 397-0905
(314) 222-3394
Mailing address
8650 MORAN PL, SAINT LOUIS, MO 63114-4437
(314) 397-0905
(314) 222-3394
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
01151547
MO
376J00000X
Homemaker
Primary
01151547
MO
Other
Enumeration date
04/04/2012
Last updated
06/04/2024
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