NPI 1396499430

Annette Lewellyn, CBMF

Practitioner Mastectomy Fitter Fremont, CA

Practice location

Address: 2500 Mowry Ave # 130, Fremont, CA 94538-1605
Phone: (510) 790-1911
Fax: (510) 505-9160

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C51810 (CA)

Other Mastectomy Fitter providers in California →

Registry record

NPI: 1396499430
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2022
Record last updated: 8 Feb 2022

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.