Individual
DALENE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
14215 ROAD 28, MADERA, CA 93638-5729
(559) 675-7893
Mailing address
14215 ROAD 28, MADERA, CA 93638-5729
(559) 675-7893
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
674408
CA
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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