Individual
MS. DIANE LOUISE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2901 BRENT DR, SANBORN, NY 14132-9240
(716) 731-3118
Mailing address
2250 WEHRLE DR, WILLIAMSVILLE, NY 14221-7037
(716) 276-2123
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
566644
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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