Stacy Roth

NPI #1013512227 in Galloway, Ohio

Provider Information

NPI Number: 1013512227
Entity Type: Individual
Name: Stacy Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 385 IDLEBROOK CT
City: Galloway
State: Ohio
ZIP Code: 43119-9421
Phone: (614) 205-8167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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