NPI 1053859975

Amanda Smith Clary, CFM

Practitioner Mastectomy Fitter Henderson, NC

Practice location

Address: 253 Ruin Creek Rd, Henderson, NC 27536-5916
Phone: (252) 492-3404
Fax: (252) 430-0670

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence CFM03091 (NC)

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Registry record

NPI: 1053859975
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2017
Record last updated: 11 Feb 2017

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.