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Individual

JARED ALDON ROGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816-6510
(916) 679-3590
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95030005
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
4704248546
MI

Other

Enumeration date
08/28/2018
Last updated
10/16/2024
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