Individual
LORETTA DARLENE ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA I V
Contact information
Practice address
34 LAVELLE COURT, UNALASKA, AK 99685-1130
(907) 581-2742
(907) 581-2006
Mailing address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
(907) 276-2700
(907) 279-4351
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17212345
—
AK
Enumeration date
01/25/2012
Last updated
01/25/2012
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