Individual
MARTHA KATHRYN LADUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
87 N CLINTON AVE, ROCHESTER, NY 14604-1455
(585) 546-7220
Mailing address
27 HIGH MANOR DR APT 6, HENRIETTA, NY 14467-9113
(585) 737-7982
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
654490
NY
Other
Enumeration date
12/01/2017
Last updated
06/16/2018
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