Individual
MISS ALEXIS GABRIELLE BADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3148 MIDWAY DR, SAN DIEGO, CA 92110-4539
(619) 363-0853
Mailing address
8910 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1104
(858) 514-5144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
246Y00000X
Health Information Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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