Individual
ESTHER BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2266 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-2620
(505) 323-2885
(505) 323-2897
Mailing address
2266 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-2620
(505) 323-2885
(505) 323-2897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6078
NM
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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