Individual
KATHLEEN J CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
PO BOX 92249, ROCHESTER, NY 14692-0249
(716) 834-1191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305402
NY
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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