Individual
EMMA JEAN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 CANAL DR NW, WILSON, NC 27896-1618
(252) 291-4038
Mailing address
1929 CANAL DR WILSON, WILSON, NC 27896-1618
(252) 291-4038
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
330014
NC
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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