Individual
MRS. TIFFANY MARIE ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
157 N PAIUTE RESERVATION DR., KANOSH, UT 84637
(435) 759-2610
(435) 759-2608
Mailing address
PO BOX 7, KANOSH, UT 84637-0007
(435) 759-2610
(435) 759-2608
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332464-3101
UT
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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