Individual
JARED BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 INGALLS ST APT 101, EDGEWATER, CO 80214-8308
(520) 475-7720
Mailing address
2615 INGALLS ST APT 101, EDGEWATER, CO 80214-8308
(520) 475-7720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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