Individual
MS. ANITA BELLOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CAMINO SIERRA VIS, 129, SANTA FE, NM 87505-1007
(505) 467-2504
(505) 467-2646
Mailing address
2321 SOL Y LUZ ST, SANTA FE, NM 87505-1704
(505) 474-3489
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-3922
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68704
—
NM
Enumeration date
03/21/2007
Last updated
07/08/2007
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