NPI 1538761465

Paige Lynn Childress, CFM

Practitioner Mastectomy Fitter New Smyrna, FL

Practice location

Address: 1131 N Dixie Fwy, New Smyrna, FL 32168-6069
Phone: (386) 427-6344
Fax: (855) 250-9392

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence CFM03368

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Registry record

NPI: 1538761465
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2020
Record last updated: 16 Nov 2020

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.