Joanne Carruth
Joanne Carruth is a Mastectomy Fitter in Los Altos, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
1564 Miramonte Ave Ste ALos Altos, CA 94024-6003
Phone: (650) 917-1771
Fax: (650) 917-1551
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Specialties & licences
| Mastectomy Fitter (primary) | Taxonomy 224900000X (CA) |
|---|
Record details
| NPI number | 1104654177 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2024 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
| Mailing address | 1564 Miramonte Ave Ste A, Los Altos, CA 94024-6003 |
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Siloette
1564 Miramonte Ave # A, Los Altos, CA 94024-6003 · (650) 917-1771