Denicia Clark Rollins

NPI #1700117736 in Zion, Illinois

Provider Information

NPI Number: 1700117736
Entity Type: Individual
Name: Denicia Clark Rollins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 14, 2010
Last Updated: Jan 14, 2010

Practice Location

Address: 2625 20TH ST
City: Zion
State: Illinois
ZIP Code: 60099-1655
Phone: (847) 757-7827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X
Radiologic Technologist - Bone Densitometry — Bone Densitometry	2471B0102X
Nurse's Aide	376K00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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