Individual
ERICA LYNNE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CC, MT
Contact information
Practice address
2376 LINEBERRY LN, MALABAR, FL 32950-3447
(321) 343-1726
Mailing address
2376 LINEBERRY LN, MALABAR, FL 32950-3447
(321) 343-1726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1223036
FL
Other
Enumeration date
05/23/2023
Last updated
05/25/2023
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