Individual
MADISON NICOLE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MAJESTIC DR, WILMINGTON, DE 19810-2443
(302) 416-0066
Mailing address
2600 MAJESTIC DR, WILMINGTON, DE 19810-2443
(302) 416-0066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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