Individual
ALICIA JEAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 GROOVILLE RD, LIVINGSTON MANOR, NY 12758-5612
(845) 943-0534
Mailing address
13 GROOVILLE RD, LIVINGSTON MANOR, NY 12758-5612
(845) 943-0534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297972
NY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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