Individual
CHRISTIAN ROTH KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 947-1595
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 947-1595
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
05/07/2019
Last updated
04/29/2025
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