Individual
JERALYN FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
115 SHELLY DR, ROBINS, IA 52328-9699
(319) 883-2987
Mailing address
115 SHELLY DR, ROBINS, IA 52328-9699
(319) 883-2987
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
177865
IA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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