Individual provider · Type 1 NPI
Cecelia Rose Greene/pendzich, CERTIFIED PERMANENT
Mastectomy Fitter · La Jolla, CA
NPI number
1700357936
Active
Practice location
7760 Fay Ave, Suite M.
La Jolla, CA 92037
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 1700357936
Cecelia Rose Greene/pendzich, CERTIFIED PERMANENT's National Provider Identifier is 1700357936, issued on Dec 16, 2018. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in La Jolla, CA. The record was last updated on Dec 16, 2018.