Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC006305 | PA |
Y | 222Z00000X | Podiatrist | SC006305 | PA |
NPI | 1013204908 |
---|---|
Provider Name | Jobeth Rollandini |
First Address | Saint Clairsville, OH 43950-1636 |
Second Address | Saint Clairsville, OH 43950-1636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 08/12/2020 |