Individual
PHYLLIS LASHLEY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
AL12632
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
121190
FL
376K00000X
Nurse's Aide
Primary
121190
FL
Other
Enumeration date
03/04/2015
Last updated
03/23/2023
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