Individual
DEBRA LYNN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6896 MAGNOLIA AVE, RIVERSIDE, CA 92506-2843
(951) 787-4885
(951) 787-4962
Mailing address
27646 CORTE DEL SOL, MORENO VALLEY, CA 92555-5924
(951) 243-3149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15987
CA
Other
Enumeration date
10/10/2006
Last updated
12/28/2011
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