Individual provider · NPI-1

Carolyn Ward Badillo, ATC

Specialist/Technologist, Athletic Trainer · San Francisco, CA

NPI number1750823167
StatusActive
Last updated in NPPESNov 16, 2016

Details

NPI
1750823167
Entity type
Individual (NPI-1)
Name
Ms. Carolyn Ward Badillo
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 16, 2016
Last updated
Nov 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

2130 Fulton St
Attn. Athletic Training
San Francisco, CA 94117-1080

Phone 415-422-4061

Mailing address

2130 Fulton St
Attn. Athletic Training
San Francisco, CA 94117-1080

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