Individual
MARY LYNN BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11814 KING WILLIAM RD, AYLETT, VA 23009-4103
(804) 769-3022
(804) 769-1253
Mailing address
11814 KING WILLIAM RD, PO BOX 213, AYLETT, VA 23009-4103
(804) 769-3022
(804) 769-1253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024138177
VA
Other
Enumeration date
01/06/2006
Last updated
10/14/2014
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