Individual
KIMBERLY REBECCA ROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1535 CRESS WAY, OLIVEHURST, CA 95961-7434
(530) 218-4131
Mailing address
1535 CRESS WAY, OLIVEHURST, CA 95961-7434
(530) 218-4131
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
785768
CA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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