Individual provider · NPI-1

Eric James Flanagan

Student in an Organized Health Care Education/Training Program · Westminster, CA

NPI number1124554738
StatusActive
Last updated in NPPESMay 3, 2017

Details

NPI
1124554738
Entity type
Individual (NPI-1)
Name
Eric James Flanagan
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2017
Last updated
May 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

13966 Hammon Pl
Westminster, CA 92683-3456

Phone 714-404-4930

Mailing address

13966 Hammon Pl
Westminster, CA 92683-3456

Phone 714-404-4930

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