Individual
MICHAEL ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1787 MESA VERDE AVE, SUITE 140, VENTURA, CA 93003-6531
(805) 644-0461
(805) 644-1501
Mailing address
1787 MESA VERDE AVE, SUITE 140, VENTURA, CA 93003-6531
(805) 644-0461
(805) 644-1501
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
16839
CA
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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