Individual
MRS. VIRGINIA L. BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1656
Mailing address
9928 S BIRDIE WAY, SOUTH JORDAN, UT 84009-9778
(801) 381-0150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
349196-3102
UT
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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