Individual
BARBARA LEE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4215 HAMILTON AVE, SAN JOSE, CA 95130-1462
(408) 761-5847
Mailing address
4215 HAMILTON AVE, SAN JOSE, CA 95130-1462
(408) 761-5847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
549631
CA
163WC1600X
Continuing Education/Staff Development Registered Nurse
549631
CA
163WI0600X
Infection Control Registered Nurse
549631
CA
163WP2201X
Ambulatory Care Registered Nurse
549631
CA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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