Latrice Marie Booker, BSN, RN
Registered Nurse, General Practice in Long Beach, CA. Individual provider (NPI-1).
NPI number1356135032
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1356135032
- Entity type
- Individual (NPI-1)
- Name
- Latrice Marie Booker
- Credential
- BSN, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2025
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 95450085 | CA | Yes |
Practice location
3210 Long Beach BlvdLong Beach, CA 90807-5062
Phone 562-225-4644
Mailing address
710 E 60th StLong Beach, CA 90805-3006
Phone 562-225-4644
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