Cala Booth Valid NPI
Individual provider · Licensed Practical Nurse · Stafford, VA
- NPI
- 1336661271
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 74885 (NC)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-07-12
- Last updated
- 2017-07-12
Practice location
48 Boundary Dr
Stafford, VA 22556
(863) 221-5516