Individual
JAMEE GRACE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4319 CARTER ST, VIDALIA, LA 71373-3152
(318) 414-2190
Mailing address
PO BOX 512, VIDALIA, LA 71373-0512
(225) 323-7251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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