KATHRYN JILL ROTH

POCATELLO, ID
NPI1467893289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1287A)
Enumeration Date2013-07-09
Last Update Date2018-08-08
Business Address
-- KATHRYN JILL ROTH FNP-C
1800 FLANDRO DR STE 110
POCATELLO, ID 83202-4936
Phone number: 208-904-1544
Mailing Address
-- KATHRYN JILL ROTH FNP-C
1800 FLANDRO DR STE 110
POCATELLO, ID 83202-4936
Phone number: 208-242-3723
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