Individual
SUZANNE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 LOMA COLORADO ST NE, RIO RANCHO, NM 87124-6562
(505) 896-5770
Mailing address
301 LOMA COLORADO ST NE, RIO RANCHO, NM 87124-6562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3978
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57687324
—
NM
Enumeration date
03/19/2007
Last updated
07/08/2007
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