Individual
ELIZABETH MARIE ROLOSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 14TH AVE, LONGVIEW, WA 98632-3017
(360) 506-1324
Mailing address
1116 14TH AVE, LONGVIEW, WA 98632-3017
(360) 506-1324
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61336173
WA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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