DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAQUIA MASSIRIE HALL-BOOTH, LPN

Active Sole Proprietor

MAQUIA MASSIRIE HALL-BOOTH, LPN is a 385HR2065X healthcare provider located in CLARKSVILLE, Tennessee. NPI 1871050104 is currently active in the NPPES registry. Verify at CMS.

385HR2065X · CLARKSVILLE, TN

Registration Details

NPI Number
1871050104
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2019 (7.4866246064328 yrs)
Last Updated
Feb 22, 2019
License
0219037 (TN)
Sole Proprietor
Yes

Practice Information

Address
3129 WESTCHESTER DR
CLARKSVILLE, TN, 370433804
Browse TN providers · Browse ZIP 37043
Phone
7083595472
Primary Specialty
385HR2065X
385HR2065X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.