Individual
MICHELLE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1721 CHASE AVE, CINCINNATI, OH 45223-2058
(513) 324-2721
Mailing address
1721 CHASE AVE, CINCINNATI, OH 45223-2058
(513) 324-2721
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN219591
OH
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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