Individual
GRACE A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1245 WILSHIRE BLVD STE 916, LOS ANGELES, CA 90017-4809
(213) 410-7574
Mailing address
1245 WILSHIRE BLVD STE 916, LOS ANGELES, CA 90017-4809
(213) 741-1220
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95003456
CA
Other
Enumeration date
05/10/2022
Last updated
08/07/2023
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