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1912463332
JENNA ROTH RING
SAN RAFAEL, CA
NPI
1912463332
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Former Name
JENNA ROTH NICHOLSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
JENNA ROTH RING
1005 NORTHGATE DR # 115
SAN RAFAEL, CA 94903-2500
Phone number: 415-858-8208
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Mailing Address
JENNA ROTH RING
1005 NORTHGATE DR # 115
SAN RAFAEL, CA 94903-2500
Phone number: 415-858-8208
Copy
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