Individual
SHATALE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10084 REISTERSTOWN RD STE 34, OWINGS MILLS, MD 21117-4096
(267) 255-6469
Mailing address
7509 ROCKRIDGE RD, PIKESVILLE, MD 21208-5733
(267) 255-6469
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
452888
MD
Other
Enumeration date
02/02/2019
Last updated
04/06/2022
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