MISS Kanisha Shunta Rogers
NPI #1568080489 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1568080489
- Entity Type
- Individual
- Name
- MISS Kanisha Shunta Rogers
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jul 7, 2020
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 2808 72ND ST W
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33971-5824
- Phone
- (239) 529-0520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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