Individual
MRS. SUSAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 JEFFERSON AVE, TOLEDO, OH 43604-5836
(567) 289-2273
Mailing address
1219 JEFFERSON AVE, TOLEDO, OH 43604-5836
(567) 289-2273
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679721906
—
OH
Enumeration date
05/31/2022
Last updated
05/31/2022
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