Individual
MR. JONATHAN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 RITCHIE HWY, GLEN BURNIE, MD 21061-4339
(410) 761-3341
Mailing address
7901 RITCHIE HWY, GLEN BURNIE, MD 21061-4339
(410) 761-3341
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T23089
MD
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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