Individual provider · Type 1 NPI
Debra Joan Shanley
Mastectomy Fitter · Fremont, CA
NPI number
1922863794
Active
Practice location
2500 Mowry Ave Ste 130
Fremont, CA 94538-1605
Fax (510) 505-1960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | C52324 (CA) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Another provider at this address
Other mastectomy fitter providers in Fremont
About NPI 1922863794
Debra Joan Shanley's National Provider Identifier is 1922863794, issued on Feb 20, 2024. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Fremont, CA. The record was last updated on Feb 20, 2024.