Jacob Paul Booth
Jacob Paul Booth is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
120 Dartmouth Dr SE Apt DAlbuquerque, NM 87106-2261
Phone: (505) 333-9042
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1386330074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2023 |
| Last updated in NPPES | April 14, 2023 |
| Certification date | April 14, 2023 |
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