IndividualActive
Annette Lewellyn, CBMF
NPI 1396499430 · Mastectomy Fitter · Fremont, CA
Provider details
- NPI number
- 1396499430
- Entity type
- Individual
- Primary specialty
- Mastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CBMF
- Sex
- Female
- Sole proprietor
- Yes
- License
- C51810 (CA)
Practice location
2500 Mowry Ave # 130
Fremont, CA 94538-1605
Phone: (510) 790-1911
Fax: (510) 505-9160
Mailing address
2500 Mowry Ave # 130
Fremont, CA 94538-1605
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.