Individual
GABRIELLE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6320 RIVERSIDE PLAZA LN NW STE A, ALBUQUERQUE, NM 87120-1710
(505) 843-6168
(505) 890-5933
Mailing address
6320 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-1710
(505) 843-6168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0058
NM
Other
Enumeration date
08/18/2023
Last updated
04/28/2026
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