Organization · Type 2 NPI

Cinderella's Closet Your Specialty Lingerie Boutique

Mastectomy Fitter · Rancho Cucamonga, CA

NPI number 1386277002 Active

Practice location

9651 Business Center Dr Ste B
Rancho Cucamonga, CA 91730-4562

Call (951) 758-8827 Map

Fax (951) 758-8851

Mailing address

6886 Riverrun Ct
Eastvale, CA 91752-3437

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.

NPI record

NPI: 1386277002
Entity type: Organization (Type 2)
Issued: Feb 20, 2020
Last updated: Apr 2, 2024
Status: Active

Other names

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Cinderella's Closet Lingerie · doing business as
Cinderella's Closet Lingerie · doing business as

Authorized official

Dana Walker, CMF
Owner/fitter
(951) 758-8827

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386277002

Cinderella's Closet Your Specialty Lingerie Boutique's National Provider Identifier is 1386277002, issued on Feb 20, 2020. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 2, 2024.