Individual
SHANA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 TINMAN DR, FAYETTEVILLE, NC 28314-8568
(910) 988-1149
Mailing address
2014 TINMAN DR, FAYETTEVILLE, NC 28314-8568
(910) 988-1149
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
6965
NC
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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