Individual
KATLYN DEANNE HODAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
400 FOOTE AVE, JAMESTOWN, NY 14701-6800
(716) 484-1914
Mailing address
400 FOOTE AVE, JAMESTOWN, NY 14701-6800
(716) 484-1914
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001959
NY
Other
Enumeration date
09/24/2019
Last updated
07/12/2021
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