Individual provider · Type 1 NPI

Marlene Angela Boothe

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1700337839 Active

Practice location

2453 Grand Canal Blvd Ste A
Stockton, CA 95207-8138

Call (855) 223-7123 Map

Fax (619) 374-7134

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Other practice locations

  • 1401 Parkmoor Ave, Ste 230, San Jose, CA 95126-3403 · (408) 971-9822

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700337839

Marlene Angela Boothe's National Provider Identifier is 1700337839, issued on Oct 24, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Aug 18, 2023.