Individual
RACHEL DAWN ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 LAWRENCE AVE, TERRELL, TX 75160-2429
(641) 751-0699
Mailing address
403 LAWRENCE AVE, TERRELL, TX 75160-2429
(641) 751-0699
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JMH00001922641
—
TX
Enumeration date
04/19/2021
Last updated
04/19/2021
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