Individual
DONTERRIS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Mailing address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
F4686499
CA
Other
Enumeration date
01/08/2021
Last updated
01/29/2021
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