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Renee Booth
NPI 1699914275 · on the registry since 2009
Practice
- Address
- 1615 Mlk Blvd
Malvern, AR 72104 - Phone
- (501) 332-5236
- Fax
- (501) 620-5109
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-30
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 Arkansas