Individual
CHANDRA MARIE BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(507) 399-3092
Mailing address
6226 FRANCE AVE S, EDINA, MN 55410-2754
(507) 399-3092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2476362
MN
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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