Individual
JANIS RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 2ND ST, AMERY, WI 54001-1620
(715) 268-8074
Mailing address
121 2ND ST, AMERY, WI 54001-1620
(715) 268-8074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306066-31
WI
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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