Individual
BETH CATHRYN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
87 WASHINGTON ST, RENSSELAER, NY 12144-2613
(518) 449-1142
(518) 449-1320
Mailing address
8 KING FISHER LN, CLIFTON PARK, NY 12065-4656
(863) 899-2403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
234437
NY
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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