Individual
CATHERINE L WORTH IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 GILMAN RD, CHURCHVILLE, NY 14428-9377
(585) 293-9489
Mailing address
139 GILMAN RD, CHURCHVILLE, NY 14428-9377
(585) 293-9489
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
182377
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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