Individual
LATONYA DELICE FLAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-6470
(909) 203-7403
Mailing address
1800 E OLD RANCH RD APT 172, COLTON, CA 92324-4667
(951) 221-7834
(909) 203-7403
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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