Gynnekia Marie Booth
Gynnekia Marie Booth is a Student in an Organized Health Care Education/Training Program in Palm Coast, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Palm Coast, FLNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 269 Union St, Lynn, MA 01901-1314 — (781) 581-3900
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN25483 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1518586403 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2020 |
| Last updated in NPPES | September 23, 2020 |
| Certification date | September 23, 2020 |
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