Individual
ANDREA FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
4001 GEIST RD, SUITE 9, FAIRBANKS, AK 99709-3552
(907) 479-0852
(907) 479-0859
Mailing address
4001 GEIST RD, SUITE 9, FAIRBANKS, AK 99709-3552
(907) 479-0852
(907) 479-0859
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
152208
AK
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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