Individual
DENICIA CLARK ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 20TH ST, ZION, IL 60099-1655
(847) 757-7827
Mailing address
2625 20TH ST, ZION, IL 60099-1655
(847) 757-7827
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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