Individual
MAQUIA MASSIRIE HALL-BOOTH
Active
Individual
MAQUIA MASSIRIE HALL-BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
0219037
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN0000091074
NURSING LICENSE
TN
Enumeration date
02/22/2019
Last updated
02/22/2019
Update your record
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