Booth, Melody Lynn

Booth, Melody Lynn is an sole proprietor health care provider with primary practice located at 15095 Amargosa Rd Ste 201 , Victorville CA 92394-1875. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Booth, Melody Lynn can be contacted via phone (760) 245-4695.

Contact Information

Primary practice address
15095 Amargosa Rd Ste 201 Victorville CA 92394-1875
Phone: (760) 245-4695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1912565003
LBN Legal business name Booth, Melody Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2019
Last updated Jun 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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