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Individual

MRS. JENNIFER M ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1800 ORLEANS ST, BLOOMBERG 7308, BALTIMORE, MD 21287-2101
(410) 955-2914
Mailing address
1800 ORLEANS ST, BLOOMBERG 7308, BALTIMORE, MD 21287-2101
(410) 955-2914

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R150450
MD

Other

Enumeration date
10/13/2014
Last updated
10/13/2014
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