Jared Boothe Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Edgewater, CO
- NPI
- 1891680013
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
Practice location
2615 Ingalls St Apt 101
Edgewater, CO 80214-8308
(520) 475-7720