NPI 1194026930

Christine I Dimaio

Organisation Mastectomy Fitter Rohnert Park, CA

Practice location

Address: 5979 Commerce Blvd STE 10, Rohnert Park, CA 94928-1650
Phone: (707) 303-7261

Authorised official

Name: Christine I Dimaio
Title: Owner
Phone: (707) 303-7261

Registered specialties (2)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CMF01542 (CT)

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Registry record

NPI: 1194026930
Entity type: Organization
NPI issued: 10 Nov 2010
Record last updated: 12 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.