Alicia Roth, PA

NPI #1568715282 in Claremont, California

Provider Information

NPI Number
1568715282
Entity Type
Individual
Name
Alicia Roth, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 18, 2012
Last Updated
Oct 18, 2012

Practice Location

Address
1601 MONTE VISTA AVE
Address 2
SUITE 190
ZIP Code
91711-2962
Phone
(909) 865-9501

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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