Individual
ADRIANA NICHOLE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8920 HOLLY AVE NE STE 102B, ALBUQUERQUE, NM 87122-2989
(505) 856-6880
Mailing address
2816 MONUMENT DR NW, ALBUQUERQUE, NM 87120-6526
(505) 274-5075
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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