Individual
JULIEANNA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HANCES DR, BLACKLICK, OH 43004-9260
(708) 642-3537
Mailing address
400 HANCES DR, BLACKLICK, OH 43004-9260
(708) 642-3537
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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