KATHERINE PHOUTHAVONG

ROCHESTER, NY
NPI1033669726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  341143)
Enumeration Date2016-10-06
Last Update Date2016-10-06
Business Address
Mrs. KATHERINE PHOUTHAVONG N.P.
601 ELWOOD AVE BOX SURG/TXP
ROCHESTER, NY 14642-0001
Phone number: 585-275-5875
Mailing Address
Mrs. KATHERINE PHOUTHAVONG N.P.
80 DERRICK DR
WEST HENRIETTA, NY 14586-8915
Phone number: 585-576-0290
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