NPI 1104654177

Joanne Carruth

Practitioner Mastectomy Fitter Los Altos, CA

Practice location

Address: 1564 Miramonte Ave STE a, Los Altos, CA 94024-6003
Phone: (650) 917-1771
Fax: (650) 917-1551

Registered specialties

Mastectomy Fitter Primary

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

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Registry record

NPI: 1104654177
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

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.