AMANDA ROTH

APPLETON, WI
NPI1912597600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  176224)
Enumeration Date2021-01-26
Last Update Date2021-01-26
Business Address
AMANDA ROTH RN
1130 W GLENDALE AVE
APPLETON, WI 54914-2344
Phone number: 920-750-0167
Mailing Address
AMANDA ROTH RN
1130 W GLENDALE AVE
APPLETON, WI 54914-2344
Phone number: 920-750-0167