Individual
JESSICA BADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, MIAMISBURG, OH 45342-7615
(937) 866-0551
Mailing address
7800 MIDFOREST CT, HUBER HEIGHTS, OH 45424-1916
(937) 441-4915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
201071
OH
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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