Individual
CHELCIE LYNN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 N WALNUT ST, WAHOO, NE 68066-1259
(402) 875-0891
Mailing address
1058 N WALNUT ST, WAHOO, NE 68066-1259
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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