Individual
BOBBY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 E PALMDALE BLVD, SUITE G, PALMDALE, CA 93550-4881
(661) 947-1595
Mailing address
PO BOX 312, PEARBLOSSOM, CA 93553-0312
(909) 702-8495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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