Individual
JEAN LUC ROLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD STUDENT
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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