Individual
GLENDA S ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-0317
Mailing address
26641 LAS ONDAS DR, MISSION VIEJO, CA 92692-3928
(949) 364-1007
(949) 364-0317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128526
REGISTERED NURSE
OH
01
—
260362
REGISTERED NURSE
CA
Enumeration date
08/09/2005
Last updated
10/24/2012
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