Provider Demographics
NPI:1215656798
Name:GARY, ROLNICKA D (DC)
Entity type:Individual
Prefix:MS
First Name:ROLNICKA
Middle Name:D
Last Name:GARY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 NEW HAMPSHIRE AVE NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4141
Mailing Address - Country:US
Mailing Address - Phone:202-494-1114
Mailing Address - Fax:
Practice Address - Street 1:55 M ST NE APT 650
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-5182
Practice Address - Country:US
Practice Address - Phone:202-321-7317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant