Individual
JOSHUA PAUL FLADGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 APACHE AVE, SANTA FE, NM 87505-3212
(480) 255-4766
Mailing address
20548 VENTURA BLVD APT 407, WOODLAND HILLS, CA 91364-6472
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1770
NM
Other
Enumeration date
11/18/2024
Last updated
11/22/2024
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