Individual
ASHLEY BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
843 WOODFORD AVE, YOUNGSTOWN, OH 44511-2333
(330) 774-9899
Mailing address
843 WOODFORD AVE, YOUNGSTOWN, OH 44511-2333
(330) 774-9899
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282338
—
OH
Enumeration date
10/22/2018
Last updated
10/22/2018
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