Individual
JACQUELINE BONITA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4150 V STREET, PSSB 1200, SACRAMENTO, CA 95817
(916) 734-5028
Mailing address
4150 V STREET, PSSB 1200, SACRAMENTO, CA 95817
(916) 734-5028
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A189887
CA
Other
Enumeration date
04/01/2022
Last updated
09/04/2023
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