Individual
GLORIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 SOARING EAGLE, WACO, TX 76705-3902
(254) 314-9864
Mailing address
103 SOARING EAGLE, WACO, TX 76705-3902
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
87606
TX
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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