Individual
JAN BADIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 DROPLET ST, LAS VEGAS, NV 89110-5041
(702) 580-0897
Mailing address
43 DROPLET ST, LAS VEGAS, NV 89110-5041
(702) 580-0897
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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