Individual
RACHAEL BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3474
Mailing address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7944289-3102
UT
163WP2201X
Ambulatory Care Registered Nurse
Primary
834258
TX
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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