Individual
LAQUETTA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
706 W LAWN DR, NEPTUNE, NJ 07753-2821
(954) 818-0722
Mailing address
706 W LAWN DR, NEPTUNE, NJ 07753-2821
(954) 818-0722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15017000
NJ
Other
Enumeration date
03/07/2024
Last updated
05/20/2024
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