Individual
AZUCENA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5912 NIGHT SHADOW AVE NW, ALBUQUERQUE, NM 87114-1975
(505) 604-7145
Mailing address
5912 NIGHT SHADOW AVE NW, ALBUQUERQUE, NM 87114-1975
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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