Individual
KELLIE BOBADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
14674 W MOUNTAIN VIEW BLVD STE 210, SURPRISE, AZ 85374-2708
(623) 546-1400
(623) 546-0745
Mailing address
14674 W MOUNTAIN VIEW BLVD STE 210, SURPRISE, AZ 85374-2708
(623) 546-1400
(623) 546-0745
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
09/15/2008
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