Individual
MR. ANTHONY MORRIS BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4696
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4696
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
06/12/2025
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