Individual
AUTUMN ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W HAWTHORNE RD, SPOKANE, WA 99251-2515
(406) 581-3174
Mailing address
164 ASTOR AVE, BELGRADE, MT 59714-7525
(406) 581-3174
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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