Ms Deanna Marie Booth, LPN | |
454 Portage St, Watertown, NY 13601-3239 | |
(315) 489-5570 | |
Not Available |
Full Name | Ms Deanna Marie Booth |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 454 Portage St, Watertown, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770802639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 271892 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Deanna Marie Booth, LPN 454 Portage St, Watertown, NY 13601-3239 Ph: (315) 489-5570 | Ms Deanna Marie Booth, LPN 454 Portage St, Watertown, NY 13601-3239 Ph: (315) 489-5570 |
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