Individual
OLGA VASILYEVNA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 K ST, SUITE 502, SACRAMENTO, CA 95816-5120
(916) 731-7858
(916) 731-7877
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 18741
LICENSE
CA
Enumeration date
09/04/2007
Last updated
03/07/2023
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