| NPI | 1780708412 |
|---|---|
| Former Name | JANET E CLEMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-05-17 |