Individual
DEANNA G ROLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4721
(504) 842-4721
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4721
(504) 842-4721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200225.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382779
—
LA
Enumeration date
02/18/2009
Last updated
01/30/2015
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