DIANE ROTH

SAINT LOUIS, MO
NPI1790916864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: MO  066206)
Enumeration Date2009-08-06
Last Update Date2009-08-06
Business Address
-- DIANE ROTH RN
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-2700
Mailing Address
-- DIANE ROTH RN
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-2700