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Debrah Bernice Pence, RFM
Prosthetic/Orthotic Supplier in Victorville, California
NPI 1225110935

Debrah Bernice Pence is a Prosthetic/Orthotic Supplier based in Victorville, CA. Debrah Bernice Pence practices in Victorville, CA and has the professional credentials of RFM. The NPI Number for Debrah Bernice Pence is 1225110935 and holds a License No. (California).

The current practice location address for Debrah Bernice Pence is 12402 Industrial Blvd, Victorville, CA and can be reached out via phone at 760-243-6828 and via fax at 760-241-2978.

Location: 12402 Industrial Blvd, Victorville, CA, 92395-5871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225110935
Provider Name
Debrah Bernice Pence
Credential
RFM
Provider Entity Type
Individual
Gender
Female
Address
12402 Industrial Blvd, Victorville, CA, 92395-5871
Phone Number
760-243-6828
Fax Number
760-241-2978
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ52677Z 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
12402 Industrial Blvd
City
Victorville
State
California
Zip
92395-5871
Phone Number
760-243-6828
Fax Number
760-241-2978
person
Provider Business Mailing Address Details
Address
12402 Industrial Blvd
City
Victorville
State
California
Zip
92395-5871
Phone Number
760-243-6828
Fax Number
760-241-2978
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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