Individual
STANARIA RICHARDSON FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7804 W SR, ALACHUA, FL 32615
(386) 462-2162
Mailing address
PO BOX 822, ALACHUA, FL 32616-0822
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
12/06/2019
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