NPI 1922863794

Debra Joan Shanley

Practitioner Mastectomy Fitter Fremont, CA

Practice location

Address: 2500 Mowry Ave STE 130, Fremont, CA 94538-1605
Phone: (510) 790-1911
Fax: (510) 505-1960

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C52324 (CA)

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Registry record

NPI: 1922863794
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2024
Record last updated: 20 Feb 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.