Individual
MAMIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 N PENNSYLVANIA AVE, SAN BERNARDINO, CA 92407-6737
(909) 266-6088
Mailing address
1380 W 48TH ST UNIT 33, SAN BERNARDINO, CA 92407-5007
(909) 653-3784
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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