Individual
MARVIN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14107 PACIFIC AVE S, TACOMA, WA 98444-4622
(253) 285-0821
(206) 659-7691
Mailing address
14107 PACIFIC AVE S, TACOMA, WA 98444-4622
(253) 285-0821
(206) 659-7691
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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