Individual
JENNY LYNN ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 631-3510
Mailing address
60611 260TH ST, HEWITT, MN 56453-4026
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2139296
MN
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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