Chandra Roland
Technician, Other in Kennett, MO. Individual provider (NPI-1).
NPI number1508295403
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1508295403
- Entity type
- Individual (NPI-1)
- Name
- Ms. Chandra Roland
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2013
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1201 Ely StKennett, MO 63857
Phone 573-888-5925 · Fax 573-717-7059
Mailing address
1201 Ely StKennett, MO 63857-1336
Phone 573-888-5925 · Fax 573-717-7059
Other practice locations
1109 Jones St
Kennett, MO 63857-3824
Kennett, MO 63857-3824
Phone 573-888-6545 · Fax 573-888-2369
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