Individual
MADELYN LAVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4057 VALENTINE CT, ARDEN HILLS, MN 55112-2813
(651) 263-6270
Mailing address
4057 VALENTINE CT, ARDEN HILLS, MN 55112-2813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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