LACEY VANESSA ROTH

BISMARCK, ND
NPI1861097347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
LACEY VANESSA ROTH
2500 CENTENNIAL RD LOT 266
BISMARCK, ND 58503-0719
Phone number: 701-202-3536
Mailing Address
LACEY VANESSA ROTH
2500 CENTENNIAL RD LOT 266
BISMARCK, ND 58503-0719
Phone number: 701-202-3536