Rogers K Bagia
Technician, Attendant Care Provider in Phoenix, AZ. Individual provider (NPI-1).
NPI number1669090114
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1669090114
- Entity type
- Individual (NPI-1)
- Name
- Rogers K Bagia
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2020
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
3141 W Maldonado RdPhoenix, AZ 85041-6372
Phone 623-806-0479
Mailing address
7820 W Northview AveGlendale, AZ 85303-1931
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