JACOB PAUL BOOTH

ALBUQUERQUE, NM
NPI1386330074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-14
Last Update Date2026-10-06
Business Address
JACOB PAUL BOOTH
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108-4312
Phone number: 505-633-8173
Mailing Address
JACOB PAUL BOOTH
PO BOX 8069
ALBUQUERQUE, NM 87198-8069
Phone number: 505-633-8173