Individual
MS. BABETTE MAISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT,CLT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31518
CA
224900000X
Mastectomy Fitter
C70689
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
01/16/2014
Last updated
09/23/2024
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