Individual
SALLY IRENE ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.P.
Contact information
Practice address
1112 N 3000 E, LAYTON, UT 84040-3007
(801) 544-9316
Mailing address
1112 N 3000 E, LAYTON, UT 84040-3007
(801) 544-9316
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
N/A
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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