Individual
TIARA JOY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
3118 NORTHWEST BLVD, GEORGETOWN, TX 78628-4225
(714) 343-1092
Mailing address
3118 NORTHWEST BLVD, B, GEORGETOWN, TX 78628
(714) 343-1092
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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