JAMIE LYNN BOOTH

MORENO VALLEY, CA
NPI1457655938
Former NameJAMIE LYNN RUNTZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA21124)
Enumeration Date2010-12-27
Last Update Date2014-04-10
Business Address
-- JAMIE LYNN BOOTH PA-C
27300 IRIS AVE
MORENO VALLEY, CA 92555-4802
Phone number: 951-243-2018
Mailing Address
-- JAMIE LYNN BOOTH PA-C
42126 SWEETSHADE LN
TEMECULA, CA 92591-3821
Phone number: 909-210-3059
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