Individual
WINTER RAYNE NICOLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(323) 409-5752
Mailing address
3460 W 7TH ST, LOS ANGELES, CA 90005-2363
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
86473
CA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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