Individual
MARK EDWARD RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
35022 PERSIMMON AVE, YUCAIPA, CA 92399-3116
(909) 226-5081
Mailing address
35022 PERSIMMON AVE, YUCAIPA, CA 92399-3116
(909) 226-5081
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
402565
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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