| Doctor Name: | MS. CHERYL ROLLINS-ALLEN |
| NPI Number: | 1609168590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 12970 3rd St Chino, CA - 917103464 |
| Business Phone Number: | 9096281201 |
| Business Fax Number: | 9095486046 |
| Mailing Address: | 5130 Riverside Dr, Maa/lea/epsdt Programs CHINO |
| State: | CA |
| Postal Code: | 917104130 |
| Phone Number: | 9096281201 |
| Fax Number: | 9095486046 |
| NPI Enumeration Date: | 05/10/2011 |
| NPI Last Update Date: | 05/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |