Individual
MRS. ANNETTE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6488
Mailing address
514 OAKWOOD DR, TROY, IL 62294-1051
(314) 289-6488
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
—
IL
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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