Organization
VERNA LEE STIVENDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE STIVENDER (OWNER MASTECTOMY CERT FITTER AND CO)
(650) 917-1771
Entity
Organization
Contact information
Practice address
1564 MIRAMONTE AVENUE, #A, LOS ALTOS, CA 94024
(650) 917-1771
(650) 917-1551
Mailing address
1564 MIRAMONTE AVENUE, #A, LOS ALTOS, CA 94024
(650) 917-1771
(650) 917-1551
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
04/29/2009
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