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NPI Code Detail

MEDICARE: MS. CYNTHIA ROTH-FELTER

MEDICARE:  MS. CYNTHIA  ROTH-FELTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS22962CA

General Provider Information

NPI Number : 1871630475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA ROTH-FELTER
Provider Business Mailing Address
First Line : PO BOX 1148
Second Line :
City : BANNING
State : CA
Zip : 92220-0008
Country : US
Telephone Number : 951-849-7142
Fax Number : 951-849-1762
Provider Business Practice Location Address
First Line : 1330 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-4477
Country : US
Telephone Number : 951-849-7142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 05/13/2021

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Directions to “ MS. CYNTHIA ROTH-FELTER ” Practice Location

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