Individual
SUSAN ELIZEBETH ROGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94146 CHILCOOT AVE., CHILCOOT, CA 96105
(530) 993-4339
Mailing address
PO BOX 73, CHILCOOT, CA 96105-0073
(530) 993-4339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11160LPN
NV
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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