Individual
MRS. DEBRA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
606 S SHOOP AVE, WAUSEON, OH 43567-1712
(419) 337-0915
(419) 337-0561
Mailing address
606 S SHOOP AVE, WAUSEON, OH 43567-1712
(419) 337-0915
(419) 337-0561
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
02261 - NP
OH
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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