Alicia M Yantes, O.D.

NPI #1699936542 in Andover, Minnesota

Provider Information

NPI Number: 1699936542
Entity Type: Individual
Name: Alicia M Yantes, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 23, 2008
Last Updated: Jun 23, 2008

Practice Location

Address: 3480 BUNKER LAKE BLVD NW
Address 2: SUITE 101
City: Andover
State: Minnesota
ZIP Code: 55304-2085
Phone: (763) 712-9854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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