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Individual

DENISE DAWN ROLLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2108 RUE SIMONE, HAMMOND, LA 70403-5728
(985) 345-9504
(985) 345-9546
Mailing address
2108 RUE SIMONE, HAMMOND, LA 70403-5728
(985) 345-9504
(985) 345-9546

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
668
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2280A
BC BS OFFICE
LA
01
3119A
BLUECROSS BLUESHIELD
LA
01
4290964
AETNA OFFICE
LA
01
DD7261
RAILROAD MEDICARE OFFICE
LA
01
P00246844
RAILROAD MEDICARE
LA
Enumeration date
07/11/2006
Last updated
02/22/2012
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