Individual
BETTY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 243-5342
Mailing address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 243-5342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L13888
NM
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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