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Mrs. Cecelia Rose Greene/pendzich, CERTIFIEDPERMANENT
Mastectomy Fitter in La Jolla, California
NPI 1700357936

Cecelia Rose Greene/pendzich is a Mastectomy Fitter based in La Jolla, CA. Cecelia Rose Greene/pendzich practices in La Jolla, CA and has the professional credentials of CERTIFIEDPERMANENT. The NPI Number for Cecelia Rose Greene/pendzich is 1700357936 and holds a License No. (California).

The current practice location address for Cecelia Rose Greene/pendzich is 7760 Fay Ave, Suite M., La Jolla, CA and can be reached out via phone at 858-230-2340.

Location: 7760 Fay Ave, Suite M., La Jolla, CA, 92037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700357936
Provider Name
Cecelia Rose Greene/pendzich
Credential
CERTIFIEDPERMANENT
Provider Entity Type
Individual
Gender
Female
Address
7760 Fay Ave, Suite M., La Jolla, CA, 92037
Phone Number
858-230-2340
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7760 Fay Ave, Suite M.
City
La Jolla
State
California
Zip
92037
Phone Number
858-230-2340
Fax Number
person
Provider Business Mailing Address Details
Address
7760 Fay Ave, Suite M.
City
La Jolla
State
California
Zip
92037
Phone Number
858-230-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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