Individual
MS. SANDRA LEE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 CENTENNIAL RD LOT 266, BISMARCK, ND 58503-0719
(701) 226-8248
Mailing address
2500 CENTENNIAL RD LOT 266, BISMARCK, ND 58503-0719
(701) 226-8248
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
R23246
ND
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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