Individual
MELYNDA BRENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC-L
Contact information
Practice address
2200 N SUNSET AVE, FARMINGTON, NM 87401-3421
(505) 599-8772
Mailing address
6 ROAD 25530, AZTEC, NM 87410-1310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
367
NM
Other
Enumeration date
07/16/2006
Last updated
12/20/2013
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