Amanda Nicole Roth

NPI #1669107892 in Crestview, Florida

Provider Information

NPI Number: 1669107892
Entity Type: Individual
Name: Amanda Nicole Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Enumeration Date: Jul 21, 2022
Last Updated: Jul 21, 2022

Practice Location

Address: 703 MAJESTIC DR
City: Crestview
State: Florida
ZIP Code: 32536-2254
Phone: (210) 899-9568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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