Individual
YASHICA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 E LONGVIEW DR, APPLETON, WI 54911-2342
(920) 471-8829
Mailing address
1603 E LONGVIEW DR, APPLETON, WI 54911-2342
(920) 471-8829
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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