BRANTLEY BOOTH

LAKE CHARLES, LA
NPI1205527819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  230060)
Enumeration Date2023-05-16
Last Update Date2023-09-14
Business Address
BRANTLEY BOOTH PMHNP
2829 4TH AVE STE 150
LAKE CHARLES, LA 70601-7897
Phone number: 337-480-7800
Mailing Address
BRANTLEY BOOTH PMHNP
2829 4TH AVE STE 150
LAKE CHARLES, LA 70601-7897
Phone number: 337-477-7091
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