| NPI | 1174808174 |
|---|---|
| Doing Business As | BELLA FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KENDALL JOHNSON CFO 225-237-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2014-08-01 |