Individual
MADELEINE JEANNE TREVINO,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATE
Contact information
Practice address
1010 S GARDEN AVE, ROSWELL, NM 88203-6866
(575) 625-6210
(575) 627-0405
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 625-6210
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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