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KATHLEEN LOUISE WANIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3208 LATTA RD STE 1, ROCHESTER, NY 14612-3084
(585) 504-6504
(585) 504-4923
Mailing address
203 SACKETS LNDG, ROCHESTER, NY 14612-1482
(716) 861-8081
(585) 504-4923

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
264137
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2009
Last updated
04/23/2021
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