Individual
MRS. LAURIE ANN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
331 N SHAFTER AVE, SHAFTER, CA 93263-1967
(661) 746-8613
(661) 746-8614
Mailing address
331 N SHAFTER AVE, SHAFTER, CA 93263-1967
(661) 746-8613
(661) 746-8614
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
431493
CA
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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