Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 893 | WV |
NPI | 1598090342 |
---|---|
Provider Name | Dr. Janet L Rogers |
First Address | Charleston, WV 25301-1809 |
Second Address | Charleston, WV 25301-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2009 |
Last Update Date | 13/10/2009 |