SearchIdaho103K00000X

Amanda Roth

NPI 1225719586 · on the registry since 2023 · sole proprietor

Practice

Address
621 Bryden Ave Ste A
Lewiston, ID 83501
Phone
(208) 298-8003

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2023-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho