Individual
MS. BELLA J. VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CACIII
Contact information
Practice address
3470 BALTIMORE AVE, PUEBLO, CO 81008-1520
(719) 545-1181
(719) 545-4097
Mailing address
3470 BALTIMORE AVE, PUEBLO, CO 81008-1520
(719) 545-1181
(719) 545-4097
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
6240
CO
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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