MS. Eda Susan Renieri, MASTECTOMY FITTER

NPI #1932285178 in Melbourne, Florida

Provider Information

NPI Number: 1932285178
Entity Type: Individual
Name: MS. Eda Susan Renieri, MASTECTOMY FITTER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mastectomy Fitter
Credential: MASTECTOMY FITTER
Enumeration Date: Oct 31, 2006
Last Updated: Feb 24, 2020

Practice Location

Address: 517 EAST STRAWBRIDGE AVE
City: Melbourne
State: Florida
ZIP Code: 32901
Phone: (321) 728-9442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X
Mastectomy Fitter	224900000X	Primary

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