Individual
MARTHA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 LE DOUX OAKS, LEAGUE CITY, TX 77573-6281
(832) 816-7803
Mailing address
218 LE DOUX OAKS, LEAGUE CITY, TX 77573-6281
(832) 816-7803
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
319343
TX
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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