THERESA L ROTH

FORT WAYNE, IN
NPI1194886697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: IN  28112127A)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- THERESA L ROTH RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- THERESA L ROTH RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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