Individual
CORY LYN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WINDING CREEK TER, BRENTWOOD, CA 94513-1824
(239) 810-4114
Mailing address
720 WINDING CREEK TER, BRENTWOOD, CA 94513-1824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236147
CA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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