Individual
JACQUELINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 MAIN ST, MANASQUAN, NJ 08736-2932
(908) 461-5413
Mailing address
57 MAIN ST, MANASQUAN, NJ 08736-2932
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
26NR12950300
NJ
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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