Individual
DARYL PAUL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 S HAM LN STE A, LODI, CA 95242-3530
(209) 333-2020
(209) 333-1188
Mailing address
541 S HAM LN STE A, LODI, CA 95242-3530
(209) 333-2020
(209) 333-1188
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
SL4692
CA
156FX1800X
Optician
SL4692
CA
237700000X
Hearing Instrument Specialist
Primary
HA2996
CA
Other
Enumeration date
05/30/2012
Last updated
12/06/2012
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