Whalio Doctors

NPI 1811490139

Magdeline L Booth

Practitioner Prevention Professional Kotzebue, AK

Practice location

Address
436 5th Avenue, Kotzebue, AK 99752
Phone
(907) 442-7175
Fax
(907) 442-7557
Mailing address
PO Box 43, Kotzebue, AK 99752-0043

Registered specialties

Prevention Professional Primary
Other Service Providers Taxonomy 405300000X Licence 1045954 (AK)

Registry record

NPI
1811490139
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Mar 2018
Record last updated
13 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.