Individual
MRS. MARIA KIANA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, BLDG H 2005 KNIGHT LANE, JACKSONVILLE, FL 32212-0140
(760) 725-3213
Mailing address
4855 FRAZEE RD APT 814, OCEANSIDE, CA 92057-6835
(443) 520-5301
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32556
CALIFORNIA DENTAL HYGIENE LICENSE NUMBER
CA
Enumeration date
12/20/2019
Last updated
12/20/2019
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