Individual
ELENA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(505) 570-9877
Mailing address
1113 E DAYTON ST APT B, MADISON, WI 53703-2449
(505) 570-9877
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71448476100
—
WI
Enumeration date
03/26/2022
Last updated
03/26/2022
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