Individual
MRS. JENNIFER Q BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
4 E FARMERSVILLE RD, EPHRATA, PA 17522-8510
(717) 847-7577
(717) 842-7912
Mailing address
94-108 LEOWAENA ST, WAIPAHU, HI 96797-2223
(833) 428-3688
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
133490
PA
176B00000X
Midwife
Primary
19060012
KS
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19060012
NARM
—
Enumeration date
07/10/2019
Last updated
04/30/2025
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