Individual
LARISSA JOAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1725 N GEORGE MASON DR, ARLINGTON, VA 22205-3675
(703) 228-4996
(703) 228-5157
Mailing address
1725 N GEORGE MASON DR, ARLINGTON, VA 22205-3675
(703) 228-4996
(703) 228-5157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001151480
VA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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