Individual
CAROL LYNN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
415 MARGARET AVE, JOHNSTOWN, PA 15905-3865
(814) 288-5801
Mailing address
415 MARGARET AVE, JOHNSTOWN, PA 15905-3865
(814) 288-5801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001771
PA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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