Roberta Roth

NPI #1477159465 in Wauseon, Ohio

Provider Information

NPI Number: 1477159465
Entity Type: Individual
Name: Roberta Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 429 N OTTOKEE ST
City: Wauseon
State: Ohio
ZIP Code: 43567-1133
Phone: (419) 349-1675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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