Individual
MS. CRYSTAL ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 ROYAL COURT LN, JACKSONVILLE, FL 32209-3941
(904) 735-1706
Mailing address
1423 ROYAL COURT LN, JACKSONVILLE, FL 32209-3941
(904) 735-1706
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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