Individual provider · Type 1 NPI
Joanne Carruth
Mastectomy Fitter · Los Altos, CA
NPI number
1104654177
Active
Practice location
1564 Miramonte Ave Ste A
Los Altos, CA 94024-6003
Fax (650) 917-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1104654177
Joanne Carruth's National Provider Identifier is 1104654177, issued on Jul 22, 2024. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Los Altos, CA. The record was last updated on Jul 22, 2024.