Individual
MRS. GERALDLENE KATHY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(928) 283-2702
Mailing address
PO BOX 3058, TUBA CITY, AZ 86045-3058
(928) 283-6705
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
CRT 11498
AZ
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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