Individual
VANESSA BELLAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 E E ST, ONTARIO, CA 91764-3712
(909) 763-4760
Mailing address
3702 N LIVE OAK AVE, RIALTO, CA 92377-3430
(909) 333-9684
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
28490
CA
Other
Enumeration date
10/28/2021
Last updated
04/07/2026
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