Individual
MS. TANYA L. RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4252 N 74TH ST, MILWAUKEE, WI 53216-1051
(414) 352-8563
(414) 352-8593
Mailing address
4252 N 74TH ST, MILWAUKEE, WI 53216-1051
(414) 352-8563
(414) 352-8593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303821-031
WI
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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