Individual
MS. DEMETRIA JINX RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1515 W NORTH AVE, BALTIMORE, MD 21217-1735
(410) 396-0186
(410) 545-1540
Mailing address
3813 MIDHEIGHTS RD, BALTIMORE, MD 21215-2723
(410) 764-0859
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R057327
MD
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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