Individual
MADELINE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 GRANT AVE STE 105, SANTA FE, NM 87501-2031
(831) 402-1176
Mailing address
1614 YOUNG ST, SANTA FE, NM 87505-3504
(831) 402-1176
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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