Individual
MRS. MARY KATHLEEN FLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1235 VIKING TOPAZ CT, WESTFIELD, IN 46074-7622
(617) 821-6870
Mailing address
59 MAGAZINE ST, #5, CAMBRIDGE, MA 02139-3942
(617) 821-6870
(617) 975-0989
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110002066
VA
363AS0400X
Surgical Physician Assistant
AP2121
MA
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010203155
—
VA
01
—
TN0139
JOHN DEERE
VA
Enumeration date
01/05/2006
Last updated
08/25/2022
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