Individual
GREGORY BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 MANOR TER, HYATTSVILLE, MD 20785-4763
(602) 373-1825
Mailing address
114 MANOR TER, HYATTSVILLE, MD 20785-4763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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