Individual
DANIEL PAUL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 N PACIFIC COAST HWY STE 590, REDONDO BEACH, CA 90277-6853
(213) 213-5171
Mailing address
409 N PACIFIC COAST HWY STE 590, REDONDO BEACH, CA 90277-6853
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95043872
CA
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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