Individual
DIANE G. RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 DON FELIPE DR, LOS ANGELES, CA 90008-4207
(626) 795-7218
(626) 796-1298
Mailing address
4124 DON FELIPE DR, LOS ANGELES, CA 90008-4207
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN136422
CA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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