Individual
MELISSA DIANNE ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2137 SAGE BRUSH AVE, GRAND RIDGE, FL 32442-8906
(850) 557-2137
Mailing address
2137 SAGE BRUSH AVE, GRAND RIDGE, FL 32442-8906
(850) 557-2137
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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