Individual
EMILY BOOTH
Active
Individual
EMILY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA54030
CA
363AM0700X
Medical Physician Assistant
Primary
54030
CA
Other
Enumeration date
08/02/2016
Last updated
03/11/2025
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