Individual
TETEE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 N WALNUT ST, EAST ORANGE, NJ 07017-3669
(862) 250-4537
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR19780100
NJ
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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