Individual
CHARMA MAE ROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20172 E STAGECOACH TRL # 2357, MAYER, AZ 86333-2357
(928) 772-1673
Mailing address
21 E LA PERA, GREEN VALLEY, AZ 85614-2130
(406) 461-8213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
309586
AZ
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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