Individual
SADE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025-1053
(888) 684-2779
Mailing address
573 W LIBERTY RD, COLLINSVILLE, MS 39325-7254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904401
MS
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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