Individual
JAMIE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 FRANKLIN ST., GRADY, NM 88120
(575) 357-2192
Mailing address
PO BOX 71, GRADY, NM 88120-0071
(575) 357-2192
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-79918
NM
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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