Individual
TARETHA LATREAS BOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 TYLER BLUFF LN, RALEIGH, NC 27616-8328
(919) 825-7291
Mailing address
1631 MIDTOWN PL STE 104-138, RALEIGH, NC 27609-1300
(919) 825-7291
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
307592
NC
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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