KATRINA MARIE PHANTHOURATH

ROCHESTER, NY
NPI1629804661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  821813)
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
KATRINA MARIE PHANTHOURATH
48 GAWAINE LN
ROCHESTER, NY 14623-5536
Phone number: 585-530-7626
Mailing Address
KATRINA MARIE PHANTHOURATH
48 GAWAINE LN
ROCHESTER, NY 14623-5536
Phone number: