Individual
SHAUNA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 LAKEPORT BLVD, LAKEPORT, CA 95453-5412
(707) 263-8382
(707) 263-5400
Mailing address
6269 ROLAND DRIVE, LUCERNE, CA 95458
(707) 263-8382
(707) 263-5400
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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