| NPI | 1467977215 |
|---|---|
| Former Name | GEORGE ANTHONY BOOKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60802924) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT 1282) |
| 124Q00000X Dental Hygienist (Licence: WA DH60284757) | |
| 126800000X Dental Assistant (Licence: WA D160057846) | |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2019-04-25 |