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Individual

EVELYN ROTH

Active
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Individual

EVELYN ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NP95008456
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
814703
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95008456
CA BRN
CA
Enumeration date
05/21/2018
Last updated
08/22/2024
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