NPI 1033875224
Iridian Madrid
Practice location
- Address
- 1815 Wells St, Las Cruces, NM 88003-1304
- Phone
- (575) 494-5945
- Mailing address
- 1406 E Maple St, Deming, NM 88030-3800
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1033875224
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Nov 2021
- Record last updated
- 11 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.