Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | DE60018757 | WA |
Y | 1223G0001X | General Practice | DE60018757 | WA |
Y | 213EG0000X | General Practice | DE60018757 | WA |
NPI | 1366773079 |
---|---|
Provider Name | Veronica C Bello |
First Address | Seattle, WA 98107-2945 |
Second Address | Seattle, WA 98107-2945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2010 |
Last Update Date | 20/01/2010 |