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Mary Rogers

Adult Companion in Roswell, NM. Individual provider (NPI-1).

NPI number1124698352
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1124698352
Entity type
Individual (NPI-1)
Name
Mary Rogers
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion03553700000NMYes

Practice location

2810 Beverly Ave
Roswell, NM 88201-8633

Phone 575-420-9315

Mailing address

2810 Beverly Ave
Roswell, NM 88201-8633

Phone 575-420-9315

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