Individual
LEE ANN EVELYNN BOGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3777 MARSHALL RD, ROCK HILL, SC 29730-9643
(704) 648-3209
Mailing address
3777 MARSHALL RD, ROCK HILL, SC 29730-9643
(704) 648-3209
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
555873
SC
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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