Search › California › 104100000X
Latisha Booker
NPI 1235596073 · on the registry since 2016 · sole proprietor
Practice
- Address
- 355 Tuolumne St # Ms 20-300
Vallejo, CA 94590 - Phone
- (707) 553-5327
- Clinicians at this address
- 2
Additional practice sites
- 1255 Allston Way, Berkeley, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
101YM0800X
1041C0700X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California