Tiah Lanae Booker, PHYSICIAN ASSISTANT
NPI #1093527616 in Hamden, Connecticut
Provider Information
- NPI Number
- 1093527616
- Entity Type
- Individual
- Name
- Tiah Lanae Booker, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 900 MIX AVE APT 28
- City
- Hamden
- State
- Connecticut
- ZIP Code
- 06514-5107
- Phone
- (203) 444-7019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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