Individual provider · Type 1 NPI

Deidra Flanagan

Student in an Organized Health Care Education/Training Program · Antioch, CA

NPI number 1730632183 Active

Practice location

3856 Osprey Dr
Antioch, CA 94509-6473

Call (925) 565-2761 Map

Mailing address

2400 Shady Willow Ln Unit 24C
Brentwood, CA 94513-3730

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730632183

Deidra Flanagan's National Provider Identifier is 1730632183, issued on Aug 2, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Antioch, CA. The record was last updated on Oct 5, 2016.