Individual
MRS. JO EVELYN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 E 21ST ST, SUITE J, SAN BERNARDINO, CA 92404-4851
(909) 882-0193
(909) 883-4834
Mailing address
355 E 21ST ST, SUITE J, SAN BERNARDINO, CA 92404-4851
(909) 882-0193
(909) 883-4834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/07/2005
Last updated
11/15/2021
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