Individual
MS. DEBORAH SUSAN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-2122
(505) 966-2150
Mailing address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-2122
(505) 966-2150
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R15436
NM
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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