Most Relevant Information
Provider Data
| NPI Number: | 1003008863 |
| Provider Name: | HOLLY SUE FLYNN LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | MA00014461 |
Most Important Dates
| Enumeration Date: | 08/15/2007 |
| Last Updated: | 08/15/2007 |
Provider Practice Location
1963 BETHEL RD SE
PORT ORCHARD
WA
983663108
Practice Location Phone/Fax
| Phone: | 3607107747 |
| Fax: | 3608950447 |
Provider Mailing Location
PO BOX 1222
PORT ORCHARD
WA
98366
Provider Mailing Phone/Fax
| Phone: | 3607107747 |
| Fax: | 3608950447 |