Individual
CATHY MARIE BELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
311 WILSHIRE PL, BARSTOW, CA 92311-2944
(760) 380-3971
Mailing address
311 WILSHIRE PL, BARSTOW, CA 92311-2944
(760) 255-2899
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN204525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN204525
LVN
CA
Enumeration date
10/04/2007
Last updated
10/04/2007
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