Individual
MS. STACEY JO ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
GALE LEMERAND DRIVE, CENTRAL RECEIVING-UAA, GAINESVILLE, FL 32604
(352) 375-4683
Mailing address
6211 SW 85TH ST, GAINESVILLE, FL 32608-8512
(352) 375-4683
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1618
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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