Individual
TRACI ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 W 6TH ST, SUPERIOR, NE 68978-1305
(402) 879-4015
Mailing address
201 RINGLAND RD, HASTINGS, NE 68901-4054
(308) 663-3878
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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