Individual
CATHERINE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3 CHARLES ST, ELLENVILLE, NY 12428-2303
(845) 647-4502
Mailing address
29 PALM DR, BLOOMINGBURG, NY 12721-4825
(845) 978-0063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311021-1
NY
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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