Individual
TERRENC M BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4005 PEPPER THORN AVE, NORTH LAS VEGAS, NV 89081-3818
(702) 203-6524
Mailing address
4005 PEPPER THORN AVE, NORTH LAS VEGAS, NV 89081-3818
(702) 203-6524
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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