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Individual

TRACIE ROLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
68 MAIN ST, NORTHWOOD, NH 03261-3232
(603) 234-4790
Mailing address
68 MAIN ST, NORTHWOOD, NH 03261-3232
(603) 234-4790

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376K00000X
Nurse's Aide
150187B9
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73490I
STATE OF NH
NH
Enumeration date
09/18/2018
Last updated
12/29/2020
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