Individual
ELIZABETH ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 MARVIN AVE, TOLEDO, OH 43606-1705
(419) 671-3350
Mailing address
3020 MARVIN AVE, TOLEDO, OH 43606-1705
(419) 671-3350
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.157156-COA1
OH
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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