Misty Booker

NPI #1063860203 in Desoto, Texas

Provider Information

NPI Number
1063860203
Entity Type
Individual
Name
Misty Booker
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Other
Enumeration Date
May 27, 2016
Last Updated
May 27, 2016

Practice Location

Address
1204 ROSEMONT DR
City
Desoto
State
Texas
ZIP Code
75115-1505
Phone
(469) 831-2064

Specialties & Taxonomy Codes

Specialty
Technician, Other

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