| Tina L Roth, LPN | |
|
2321 E Highland Ave # 3135, Phoenix, AZ 85016-5266 | |
| (208) 353-4209 | |
| Not Available |
| Full Name | Tina L Roth |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2321 E Highland Ave # 3135, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295048700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP046575 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina L Roth, LPN 2321 E Highland Ave # 3135, Phoenix, AZ 85016-5266 Ph: (208) 353-4209 | Tina L Roth, LPN 2321 E Highland Ave # 3135, Phoenix, AZ 85016-5266 Ph: (208) 353-4209 |
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