Individual
ROBERT ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 S CAMINO DEL PUEBLO STE C, BERNALILLO, NM 87004-5909
(505) 288-3893
Mailing address
282 S CAMINO DEL PUEBLO STE C, BERNALILLO, NM 87004-5909
(505) 288-3893
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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