James Booth, LPN
Licensed Practical Nurse in Wayland, MA. Individual provider (NPI-1).
NPI number1295055879
StatusActive
Last updated in NPPESJun 7, 2010
Details
- NPI
- 1295055879
- Entity type
- Individual (NPI-1)
- Name
- James Booth
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2010
- Last updated
- Jun 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN67721 | MA | Yes |
Practice location
7 Gage RdWayland, MA 01778-4713
Phone 508-655-4564
Mailing address
7 Gage RdWayland, MA 01778-4713
Phone 508-655-4564
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