Individual
CAROL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3233 BROOKWOOD DR, LAFAYETTE, CA 94549-1921
(510) 334-0803
Mailing address
3233 BROOKWOOD DR, LAFAYETTE, CA 94549-1921
(510) 334-0803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
30172
CA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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