Individual
MS. JAIME D BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(505) 305-0902
Mailing address
8601 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(505) 305-0902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0325
NM
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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