Individual
KATHLEEN L PIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 KLEM RD, WEBSTER, NY 14580-8618
(585) 217-4107
(585) 872-2463
Mailing address
119 SOUTH AVE, WEBSTER, NY 14580
(585) 217-4107
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
507264-1
NY
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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