STACY ROTH

DAVENPORT, IA
NPI1689077018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family
(Licence: IA  G106548)
Enumeration Date2014-09-30
Last Update Date2021-10-29
Business Address
STACY ROTH APN
500 W RIVER DR
DAVENPORT, IA 52801-1014
Phone number: 563-336-3000
Mailing Address
STACY ROTH APN
500 W RIVER DR
DAVENPORT, IA 52801-1014
Phone number: 563-336-3000
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