Stephanie Booth

NPI #1003367996 in Midland, Michigan

Provider Information

NPI Number: 1003367996
Entity Type: Individual
Name: Stephanie Booth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 17, 2016
Last Updated: Oct 17, 2016

Practice Location

Address: 5301 DUBLIN AVE APT 706
City: Midland
State: Michigan
ZIP Code: 48640-3133
Phone: (989) 750-2767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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