Individual
BOBBY BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 HONEYBROOK DR APT 301, VIRGINIA BEACH, VA 23462-7649
(757) 559-1864
Mailing address
201 HONEYBROOK DR APT 301, VIRGINIA BEACH, VA 23462-7649
(757) 559-1864
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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