Individual
MARQUITA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4905 NORTHCUTT PL, 7, DAYTON, OH 45414-3864
(937) 380-1129
Mailing address
4905 NORTHCUTT PL, 7, DAYTON, OH 45414-3864
(937) 380-1129
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400815061008
OH
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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