Marissa Booth

NPI #1639929896 in Benton Harbor, Michigan

Provider Information

NPI Number: 1639929896
Entity Type: Individual
Name: Marissa Booth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Mar 22, 2024
Last Updated: Mar 22, 2024

Practice Location

Address: 200 RIVER TERRACE DRIVE
Address 2: 802
City: Benton Harbor
State: Michigan
ZIP Code: 49022
Phone: (269) 369-2164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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