Individual
CHRYSANDRA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 PERSON ST STE 6, FAYETTEVILLE, NC 28301-5737
(910) 835-5464
Mailing address
110 DYSART PL APT J, FAYETTEVILLE, NC 28314-4300
(910) 929-4687
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
HC6536
NC
3747A0650X
Attendant Care Provider
Primary
HC6536
NC
3747P1801X
Personal Care Attendant
HC6536
NC
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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