Individual
CORINA BADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-5115
Mailing address
1031 BLACKTHORNE RD, FORNEY, TX 75126-3802
(214) 738-2959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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