Individual
MARY CLAIRE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-0523
(401) 783-9448
Mailing address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-0523
(401) 783-9448
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN41842
RI
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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