Individual
LATESHA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 S LOCUST ST, GRAND ISLAND, NE 68801-8861
(308) 398-0350
Mailing address
2815 S LOCUST ST, GRAND ISLAND, NE 68801-8861
(308) 398-0350
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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