Alexis Gabrielle Badillo
Spec/Tech, Health Info in San Diego, CA. Individual provider (NPI-1).
NPI number1639869167
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1639869167
- Entity type
- Individual (NPI-1)
- Name
- Miss Alexis Gabrielle Badillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2023
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Y00000X | Spec/Tech, Health Info | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
3148 Midway DrSan Diego, CA 92110-4539
Phone 619-363-0853
Mailing address
8910 Clairemont Mesa BlvdSan Diego, CA 92123-1104
Phone 858-514-5144
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