IndividualActive
Deeadra Ursin-Zachary, CRANIAL PROTHESIS
NPI 1689411555 · Prosthetic/Orthotic Supplier · Show Low, AZ
Provider details
- NPI number
- 1689411555
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CRANIAL PROTHESIS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
2707 S White Mountain Rd Ste G
Show Low, AZ 85901-7343
Phone: (928) 421-0998
Approximate (ZIP-level) locationGet directions
Mailing address
1867 Rainbow Cir
Show Low, AZ 85901-7020
Registry dates
- Enumerated
- 2024-07-09
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.