Provider Demographics
NPI:1710605928
Name:ALMERO, BRIAN JESUS BELLO
Entity Type:Individual
Prefix:
First Name:BRIAN JESUS
Middle Name:BELLO
Last Name:ALMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30713 SUGARMILL LN
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-2620
Mailing Address - Country:US
Mailing Address - Phone:415-623-4616
Mailing Address - Fax:
Practice Address - Street 1:30713 SUGARMILL LN
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2620
Practice Address - Country:US
Practice Address - Phone:415-623-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA839446163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse