Individual
CHARLENA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 STATE HIGHWAY 121, LEWISVILLE, TX 75056-4561
(682) 597-3092
Mailing address
7413 NORMANDY RD, ROWLETT, TX 75089-2144
(682) 597-3092
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352409
TX
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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