Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath |
NPI | 1972144889 |
---|---|
Provider Name | Talonda Rogers |
First Address | Coatesville, PA 19320-5554 |
Second Address | Coatesville, PA 19320-5554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 02/10/2019 |