Individual
ERICKA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 TORREY ST, BROCKTON, MA 02301-4800
(508) 540-6550
Mailing address
111 TORREY ST, BROCKTON, MA 02301-4800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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