NPI 1639929896
Marissa Booth
Practice location
- Address
- 200 River Terrace Drive 802, Benton Harbor, MI 49022
- Phone
- (269) 369-2164
- Mailing address
- 525 Court St, Saint Joseph, MI 49085-1363
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1639929896
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Mar 2024
- Record last updated
- 22 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.