Individual
BRENDA SMALL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 SAINT MATTHIAS DR, SHREVEPORT, LA 71119-5603
(318) 990-0700
Mailing address
3326 SAINT MATTHIAS DR, SHREVEPORT, LA 71119-5603
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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