Individual
MORIAH FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
202 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 321-4934
Mailing address
202 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 321-4934
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
634
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
634
THE BOARD OF HEARING INSTRUMENT DISPENSERS STATE OF ARKANSAS
AR
Enumeration date
09/23/2016
Last updated
09/23/2016
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