Individual
MADELYN OLMSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 WELLS ST, LAS CRUCES, NM 88003-1304
(575) 646-5744
Mailing address
1853 NEWTON ST, LAS CRUCES, NM 88001-5156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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