MISS Gracie Lenore Booth

NPI #1194026286 in Parker, Arizona

Provider Information

NPI Number
1194026286
Entity Type
Individual
Name
MISS Gracie Lenore Booth
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Nov 5, 2010
Last Updated
Nov 5, 2010

Practice Location

Address
12033 AGENCY RD
City
Parker
State
Arizona
ZIP Code
85344-7718
Phone
(928) 669-2137

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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