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Debra Joan Shanley
Mastectomy Fitter in Fremont, California
NPI 1922863794

Debra Joan Shanley is a Mastectomy Fitter based in Fremont, CA. Debra Joan Shanley practices in Fremont, CA. The NPI Number for Debra Joan Shanley is 1922863794 and holds a License No. C52324 (California).

The current practice location address for Debra Joan Shanley is 2500 Mowry Ave Ste 130, Fremont, CA and can be reached out via phone at 510-790-1911 and via fax at 510-505-1960.

Location: 2500 Mowry Ave Ste 130, Fremont, CA, 94538-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922863794
Provider Name
Debra Joan Shanley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 Mowry Ave Ste 130, Fremont, CA, 94538-1605
Phone Number
510-790-1911
Fax Number
510-505-1960
Provider Enumeration Date
02/20/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2500 Mowry Ave Ste 130
City
Fremont
State
California
Zip
94538-1605
Phone Number
510-790-1911
Fax Number
510-505-1960
person
Provider Business Mailing Address Details
Address
2500 Mowry Ave Ste 130
City
Fremont
State
California
Zip
94538-1605
Phone Number
510-790-1911
Fax Number
510-505-1960
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
C52324 (California)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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