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Individual

SANDRA M BELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT 4186

Contact information

Practice address
2 COURTHOUSE LANE, CHELMSFORD, MA 01824
(978) 204-3280
Mailing address
2 COURTHOUSE LANE, SUITE 13R, CHELMSFORD, MA 01824
(978) 204-3280

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
4186
MA
174400000X
Specialist
Primary
4186
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4186
LMT 4186
MA
Enumeration date
07/05/2012
Last updated
07/05/2012
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