IndividualActive
Joanne Carruth
NPI 1104654177 · Mastectomy Fitter · Los Altos, CA
Provider details
- NPI number
- 1104654177
- Entity type
- Individual
- Primary specialty
- Mastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1564 Miramonte Ave Ste a
Los Altos, CA 94024-6003
Phone: (650) 917-1771
Fax: (650) 917-1551
Approximate (ZIP-level) locationGet directions
Mailing address
1564 Miramonte Ave Ste a
Los Altos, CA 94024-6003
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.