Individual
SHIRLEY ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CONSULTANT
Contact information
Practice address
11428 HIGH TIMBER DR, INDIANAPOLIS, IN 46235-6124
(463) 213-3277
Mailing address
11428 HIGH TIMBER DR, INDIANAPOLIS, IN 46235-6124
(463) 213-3277
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
05/09/2024
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