Individual
MRS. KATHERINE BOEDICKER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3171
(336) 641-6693
Mailing address
6109 EDGERTON DR, GREENSBORO, NC 27410-4907
(336) 292-0165
(336) 641-6693
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
48863
NC
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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