Individual
CHERISSE ELANA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
423 VIRGINIA AVE, ASHLAND, OH 44805-2540
(419) 606-7054
Mailing address
423 VIRGINIA AVE, ASHLAND, OH 44805-2540
(419) 606-7054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
124221
OH
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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