Individual
VICKIE GAIL RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(618) 205-4244
Mailing address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(618) 205-4244
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
041-256-958
IL
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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