Individual
ALICIA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1601 MONTE VISTA AVE, SUITE 190, CLAREMONT, CA 91711-2962
(909) 865-9501
(909) 946-0211
Mailing address
1601 MONTE VISTA AVE, SUITE 190, CLAREMONT, CA 91711-2962
(909) 865-9501
(909) 946-0211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 21924
CA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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