Individual
MARISSA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RIVER TERRACE DRIVE, 802, BENTON HARBOR, MI 49022
(269) 369-2164
Mailing address
525 COURT ST, SAINT JOSEPH, MI 49085-1363
(269) 369-2164
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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