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Kathleen M Flanigan
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NPI Number Detailed Information
Provider Information:
| Name: | Kathleen M Flanigan |
| Gender: | F |
| Provider License Number If Given: | LCS10380 |
NPI Information:
| NPI: | 1093709586 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 8/6/2010 |
Provider Business Mailing Address:
| Address: | 741 GARDEN VIEW CT SUITE 109 Encinitas, CA 92024 |
| Phone Number: | 7609448287 |
| Fax Number: | 7609448287 |
Provider Business Practice Location Address:
| Address: | 741 GARDEN VIEW CT SUITE 109 Encinitas, CA 92024 |
| Phone Number: | 7609448287 |
| Fax Number: | 7609448287 |
Provider Taxonomy:
| Primary: | 1041C0700X |
| Secondary (if any): | |
| State: | CA |
