| Krystie L Roth, LPN | |
|
1240 Smith St Se, Olympia, WA 98501-2731 | |
| (253) 906-0381 | |
| Not Available |
| Full Name | Krystie L Roth |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1240 Smith St Se, Olympia, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568246429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP61354227 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krystie L Roth, LPN 1240 Smith St Se, Olympia, WA 98501-2731 Ph: (253) 906-0381 | Krystie L Roth, LPN 1240 Smith St Se, Olympia, WA 98501-2731 Ph: (253) 906-0381 |
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Edward Braga-smith, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6700 Martin Way E Ste 117, Olympia, WA 98516 Phone: 360-413-6910 | |
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