Individual
AMBER RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 9TH AVE SW, HAMPTON, IA 50441-2526
(319) 481-8188
Mailing address
520 9TH AVE SW, HAMPTON, IA 50441-2526
(319) 481-8188
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689121
BUSINESS ENTITY SEARCH
IA
Enumeration date
11/10/2021
Last updated
11/10/2021
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