ELLEN MARIE ROTH

FONTANA, CA
NPI1093885253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  436360)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- ELLEN MARIE ROTH C.R.N.A.
9961 SIERRA AVE ANESTHESIA DEPARTMENT
FONTANA, CA 92335-6720
Phone number: 909-427-7162
Mailing Address
-- ELLEN MARIE ROTH C.R.N.A.
475 E CYPRESS AVE APT. #302
REDLANDS, CA 92373-6169
Phone number: 909-792-1918