Individual
JOSEPH PHILLP LA BELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
PO BOX 2006, 217 GUADALUPE LANE, CORRALES, NM 87084-2006
(505) 898-0689
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R11597
NM
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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