Individual
GLADYS E ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5237 KENILWORTH AVE # 2, HYATTSVILLE, MD 20781-2857
(240) 413-4055
(410) 946-2010
Mailing address
5237 KENILWORTH AVE, HYATTSVILLE, MD 20781-2857
(240) 413-4055
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP55347
MD
Other
Enumeration date
02/17/2021
Last updated
10/12/2023
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