Individual
ALYVIA ROSE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 N GROVE ST APT D2, BOWLING GREEN, OH 43402-1775
(740) 802-8266
Mailing address
1005 N GROVE ST APT D2, BOWLING GREEN, OH 43402-1775
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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