ROGER MARK BOOTH

HUNTINGTON, WV
NPI1275150047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: WV  105246)
Enumeration Date2020-06-28
Last Update Date2020-06-28
Business Address
Mr. ROGER MARK BOOTH NP-C
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-654-4035
Mailing Address
Mr. ROGER MARK BOOTH NP-C
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-654-4035
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