Individual
JACKQUELINE ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2674 MONTANA AVE APT 11, CINCINNATI, OH 45211-3794
(513) 550-4508
Mailing address
2674 MONTANA AVE APT 11, CINCINNATI, OH 45211-3794
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376789810997
OH
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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