Joanne Carruth

NPI #1104654177 in Los Altos, California

Provider Information

NPI Number: 1104654177
Entity Type: Individual
Name: Joanne Carruth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mastectomy Fitter
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 1564 MIRAMONTE AVE STE A
City: Los Altos
State: California
ZIP Code: 94024-6003
Phone: (650) 917-1771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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