Individual
STEPHANIE SOMMERLAD BELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
401 WESTERN BLVD, BAYVILLE, NJ 08721-3313
(720) 425-3398
Mailing address
401 WESTERN BLVD, BAYVILLE, NJ 08721-3313
(720) 425-3398
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01298900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT01298900
DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
09/22/2020
Last updated
09/22/2020
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