person
Jacob Paul Booth
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1386330074

Jacob Paul Booth is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Jacob Paul Booth practices in Albuquerque, NM. The NPI Number for Jacob Paul Booth is 1386330074 and holds a License No. (New Mexico).

The current practice location address for Jacob Paul Booth is 120 Dartmouth Dr Se Apt D, Albuquerque, NM and can be reached out via phone at 505-333-9042.

Location: 120 Dartmouth Dr Se Apt D, Albuquerque, NM, 87106-2261
person
Provider Profile Details
NPI Number
1386330074
Provider Name
Jacob Paul Booth
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Dartmouth Dr Se Apt D, Albuquerque, NM, 87106-2261
Phone Number
505-333-9042
Fax Number
Provider Enumeration Date
04/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Dartmouth Dr Se Apt D
City
State
Zip
87106-2261
Phone Number
505-333-9042
Fax Number
person
Provider Business Mailing Address Details
Address
120 Dartmouth Dr Se Apt D
City
State
Zip
87106-2261
Phone Number
505-333-9042
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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