Individual
SHATASHA C ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 N DOVER DR, INDEPENDENCE, MO 64056-1542
(816) 838-6542
Mailing address
723 N DOVER DR, INDEPENDENCE, MO 64056-1542
(816) 838-6542
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
114121A
MO
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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