Individual
REGINA VALORIE ROGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 WAGON DR APT 202, WEST SALEM, WI 54669-1009
(608) 451-5965
Mailing address
2 BUCHHOLTZ RD, FOUNTAIN CITY, WI 54629
(205) 303-0033
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
96378
WI
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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