Individual
CRISTINA ANN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1181 MALL DR, LAS CRUCES, NM 88011-8105
(575) 522-0766
(575) 522-4659
Mailing address
1181 MALL DR, LAS CRUCES, NM 88011-8105
(575) 522-0766
(575) 522-4659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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