Individual
ANDREA KAY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1919 LATHROP ST, SUITE 123, FAIRBANKS, AK 99701-5937
(310) 951-5252
Mailing address
PO BOX 72991, FAIRBANKS, AK 99707-2991
(310) 951-5252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
11/24/2014
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