Jaclyn Roth, LPN

NPI #1548831159 in Troy, Illinois

Provider Information

NPI Number
1548831159
Entity Type
Individual
Name
Jaclyn Roth, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jul 6, 2021
Last Updated
Jul 6, 2021

Practice Location

Address
121 STEVEN DR
City
Troy
ZIP Code
62294-1866
Phone
(618) 288-3700

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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