Individual
EDDITH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 STRAWS MILL RD, GATESVILLE, TX 76528-3140
(254) 252-5757
Mailing address
904 STRAWS MILL RD, GATESVILLE, TX 76528-3140
(254) 252-5757
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
125529
TX
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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