Individual
MRS. JOANNA MARIE BOOHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1825 W KNUDSEN DR STE 220A, PHOENIX, AZ 85027-1377
(623) 299-8799
Mailing address
1825 W KNUDSEN DR # 220A, PHOENIX, AZ 85027-1377
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H
—
124Q00000X
Dental Hygienist
Primary
H05418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
GOTO SLEEP
—
Enumeration date
01/11/2019
Last updated
01/11/2019
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