Most Relevant Information
Provider Data
| NPI Number: | 1003058702 |
| Provider Name: | THERESA MARIE ROLLASON NURSING-MSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 5934237 |
Most Important Dates
| Enumeration Date: | 03/27/2009 |
| Last Updated: | 03/27/2009 |
Provider Practice Location
UNIT 15244 BOX 425
APO
AP
962055244
Practice Location Phone/Fax
| Phone: | 82279175515 |
| Fax: |
Provider Mailing Location
UNIT 15244 BOX 425
APO
AP
962055244
Provider Mailing Phone/Fax
| Phone: | 82279175515 |
| Fax: |