Individual
JOSHUA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
16206 WETHERBY ST, BEVERLY HILLS, MI 48025-5559
(248) 550-2279
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704276659
MI
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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