Individual
MRS. MARY B LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 COLDWATER RD, ROCHESTER, NY 14624-2445
(585) 247-3177
Mailing address
9215 SUMMIT STREET RD, LE ROY, NY 14482-8949
(595) 247-3177
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
402517-1
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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