Individual
JANICE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
Mailing address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN23156
MT
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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