TAMECO BOOTH
Licensed Practical Nurse
Active
Individual
NPI: 1104204395
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 043.117905 (IL) |
Frequently Asked Questions
NPI 1104204395 is the National Provider Identifier for TAMECO BOOTH, a Licensed Practical Nurse provider located in Alton, IL. This NPI was enumerated on May 8, 2015.
TAMECO BOOTH practices at 2615 EDWARDS ST, Alton, IL 62002.
Quick Facts
- NPI
- 1104204395
- Type
- Individual
- Enumerated
- May 8, 2015
- Last Updated
- Mar 27, 2018
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