Provider Demographics
NPI:1124813225
Name:SILOETTE
Entity type:Organization
Organization Name:SILOETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED FITTER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-917-1771
Mailing Address - Street 1:1564 MIRAMONTE AVE # A
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6003
Mailing Address - Country:US
Mailing Address - Phone:650-917-1771
Mailing Address - Fax:
Practice Address - Street 1:1564 MIRAMONTE AVE # A
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-6003
Practice Address - Country:US
Practice Address - Phone:650-917-1771
Practice Address - Fax:650-917-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Single Specialty