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Individual

RACHEL JEAN LOUISE FORTINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A./L

Contact information

Practice address
13 LOCUST ST, GLENS FALLS, NY 12801-4544
(518) 761-2025
(518) 761-2035
Mailing address
13 LOCUST ST, GLENS FALLS, NY 12801-4544
(518) 761-2025
(518) 761-2035

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
008987-1
NY

Other

Enumeration date
08/23/2016
Last updated
08/23/2016
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