Individual
ANGELA M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 75TH ST W, LAKEWOOD, WA 98499-8303
(253) 345-5720
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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