Individual
THAILAN DWON FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S ORCHARD ST STE 110, BOISE, ID 83705-1961
(208) 919-4692
Mailing address
1735 S GRAND FORK WAY APT 304, MERIDIAN, ID 83642-5550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DC207609D
ID
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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