Individual
AKEI B BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 LOVE ST, ROCHESTER, NY 14611-2206
(585) 285-6917
Mailing address
52 LOVE ST, ROCHESTER, NY 14611-2206
(585) 285-6917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333926
NY
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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