Individual
GENE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(619) 800-8270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002025
CA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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