Individual
MICHELLE PATRICIA ROGGERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 RANGOON PL, DULLES, VA 20189-4249
(944) 527-0496
Mailing address
UNIT 4250 BOX 108, DPO, AE 09976-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177953
VA
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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