Provider Demographics
NPI:1962137562
Name:FLECHAS, LUZ ANGELA (PA)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:ANGELA
Last Name:FLECHAS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 EMMA ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-1480
Mailing Address - Country:US
Mailing Address - Phone:404-641-9586
Mailing Address - Fax:
Practice Address - Street 1:1032 EMMA ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-1480
Practice Address - Country:US
Practice Address - Phone:404-641-9586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program