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Yasmin Renee Boothe

Licensed Practical Nurse in Rochester, NY. Individual provider (NPI-1).

NPI number1104720481
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1104720481
Entity type
Individual (NPI-1)
Name
Yasmin Renee Boothe
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2026
Certification date
Oct 8, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse350992NYYes

Practice location

111 Dove St
Rochester, NY 14613-1315

Phone 585-703-3881

Mailing address

111 Dove St
Rochester, NY 14613-1315

Phone 585-703-3881

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