Individual
MS. HALEE MARIE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(858) 764-3150
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 764-3150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58265
CA
363AM0700X
Medical Physician Assistant
PA58265
CA
Other
Enumeration date
08/21/2020
Last updated
09/15/2025
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