Individual
MRS. ACALYNN MARCUM BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 3 BOX 2066, WAYNE, WV 25570-9637
(304) 272-3896
Mailing address
RR 3 BOX 2066, WAYNE, WV 25570-9637
(304) 272-3896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
367135
OH
163W00000X
Registered Nurse
50483
KY
163W00000X
Registered Nurse
Primary
80236
WV
Other
Enumeration date
07/06/2010
Last updated
04/24/2011
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