KEN O BOOTH

FAIRFIELD, CA
NPI1841975786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT37597)
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
KEN O BOOTH
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
Mailing Address
KEN O BOOTH
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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