Individual
DENI NICOLE ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 ROYALTON DR, NEW HAVEN, IN 46774-2658
(850) 867-8944
Mailing address
544 ROYALTON DR, NEW HAVEN, IN 46774-2658
(850) 867-8944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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