Individual
ELISIA MARCIANA ROTHERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 W OVERLAND, SCOTTSBLUFF, NE 69361-3467
(308) 765-8719
Mailing address
1005 W OVERLAND, SCOTTSBLUFF, NE 69361-3467
(308) 765-8719
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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