Individual
TAMIJO BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11059 E BETHANY DR, STE 200, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2397
Mailing address
1887 TERRITORY CIR, PARKER, CO 80138-4726
(303) 819-0080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42251
CO
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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