| NPI | 1609642966 |
|---|---|
| Former Legal Business Name | BELLOSANTANA CORP |
| Entity Type | Organization |
| Authorized Contact | ANA LUISA BELLO Owner 754-276-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |