Individual
LAURA ALEJANDRA BELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
1413 JOHANNA CT, WILLIAMSTOWN, NJ 08094-8509
(856) 823-4393
Mailing address
1413 JOHANNA CT, WILLIAMSTOWN, NJ 08094-8509
(856) 823-4393
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
#TD3650
NJ
332H00000X
Eyewear Supplier
#TD3650
NJ
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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