Individual
JENNIFER ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12901 20TH AVE S, SEATAC, WA 98168-5159
(425) 248-7162
Mailing address
2019 182ND AVE NE, REDMOND, WA 98052-6029
(425) 248-7162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001112
WA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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