Individual
MS. KATIE ELIZABETH RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
318 SOMERSET ST, GLOUCESTER CITY, NJ 08030-1739
(856) 345-4324
Mailing address
837 LITTLE SOMERSET ST, GLOUCESTER CITY, NJ 08030-1866
(856) 345-4324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06560000
NJ
164W00000X
Licensed Practical Nurse
PN307815
PA
Other
Enumeration date
05/13/2020
Last updated
11/18/2020
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