Individual
DR. FLAXIE ROBERSON FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD, SUITE #604, LYNWOOD, CA 90262-3513
(310) 637-1971
(310) 637-1049
Mailing address
3737 MARTIN LUTHER KING JR BLVD, SUITE #604, LYNWOOD, CA 90262-3513
(310) 637-1971
(310) 637-1049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C037011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000C370111
—
CA
01
—
040003119
RAILRAOD MEDICARE
CA
Enumeration date
07/19/2006
Last updated
11/17/2009
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