Individual
MARIAH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1050 OLD DES PERES RD STE 150, DES PERES, MO 63131-1874
(314) 569-2918
Mailing address
422 GILLHAM CT, BALLWIN, MO 63021-6167
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2010019493
MO
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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