Individual
MR. JAMES KENNETH ROGERS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 N MURRAY ST, BANNING, CA 92220-5528
(951) 663-8366
Mailing address
16970 MARYGOLD AVE, #62, FONTANA, CA 92335-1709
(909) 908-9700
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
0908868
CA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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