Individual
DR. THERESA LYNN RAY FLAMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
590 FARRINGTON HWY, SUITE 524-204, KAPOLEI, HI 96707-2009
(808) 594-8579
Mailing address
590 FARRINGTON HWY, SUITE 524-204, KAPOLEI, HI 96707-2009
(808) 594-8579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
52522
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
52522
MN
207NS0135X
Procedural Dermatology Physician
52522
MN
Other
Enumeration date
08/17/2007
Last updated
06/06/2016
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