MATTHEW BOOTH

KINGSTON, PA
NPI1053162735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP029539)
Enumeration Date2024-03-29
Last Update Date2024-03-29
Business Address
MATTHEW BOOTH CRNP
480 PIERCE ST STE 320
KINGSTON, PA 18704-5512
Phone number: 570-479-1627
Mailing Address
MATTHEW BOOTH CRNP
510 ISABELLE CT APT B
EDWARDSVILLE, PA 18704-5901
Phone number: 570-479-1627
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