Individual
MR. COURTLAND DENNIS BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6168 APPLEGATE LN, COLUMBUS, OH 43213-3301
(614) 749-8290
Mailing address
6168 APPLEGATE LN, COLUMBUS, OH 43213-3301
(614) 749-8290
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RU733328
OH
347C00000X
Private Vehicle
RU733328
OH
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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