Individual
ALICIA M YANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3480 BUNKER LAKE BLVD NW, SUITE 101, ANDOVER, MN 55304-2085
(763) 712-9854
Mailing address
3480 BUNKER LAKE BLVD NW, SUITE 101, ANDOVER, MN 55304-2085
(763) 712-9854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3148
MN
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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