Individual
JEANETTE A BOOHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35631
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35631
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559816
—
AZ
Enumeration date
07/07/2006
Last updated
09/13/2021
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