PENNY ROTH

MANDAN, ND
NPI1083216543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002059986)
Enumeration Date2020-11-10
Last Update Date2020-11-10
Business Address
PENNY ROTH
1200 COLLINS AVE
MANDAN, ND 58554-2066
Phone number: 701-663-5373
Mailing Address
PENNY ROTH
1200 COLLINS AVE
MANDAN, ND 58554-2066
Phone number: 701-663-5373
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