Individual
MS. JUDITH ANN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
17226 MEMORIAL HIGHWAY, MOUNT VERNON, WA 98273
(360) 610-3279
Mailing address
18304 CAPET ZALSILUCE RD, LA CONNER, WA 98257-9334
(360) 610-3279
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA 60262828
WA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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