Individual
MICHELLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 POLK ST, HOUMA, LA 70360-4154
(985) 857-3601
Mailing address
247 HORSESHOE RD, SCHRIEVER, LA 70395-4017
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN065694
LA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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