Individual
LAVALE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13095 NEPTUNE DR, SAN LEANDRO, CA 94577-3130
(510) 300-3500
Mailing address
13095 NEPTUNE DR, SAN LEANDRO, CA 94577-3130
(510) 300-3500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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