Individual
NICOLE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
6TH AVENUE & SPRUCE STREET, WEST READING, PA 19611
(610) 988-9000
Mailing address
PO BOX 14623, READING, PA 19612-4623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003391
PA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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