Individual
RONNIE JAMES BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4220 N ARROWHEAD RD, SILVER CITY, NM 88061-6034
(575) 956-7919
Mailing address
4220 N ARROWHEAD RD, SILVER CITY, NM 88061-6034
(575) 956-7919
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
82267
NM
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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