Individual
JOHN K BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2477 14TH ST, CUYAHOGA FALLS, OH 44223-2033
(330) 592-1413
Mailing address
2477 14TH ST, CUYAHOGA FALLS, OH 44223-2033
(330) 592-1413
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RQ081447
OH
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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