Individual
DR. CRYSTAL S BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5005 PROSPECT AVE NE, STE C, ALBUQUERQUE, NM 87110-4275
(505) 247-4466
(505) 247-4472
Mailing address
5005 PROSPECT AVE NE, STE C, ALBUQUERQUE, NM 87110-4275
(505) 247-4466
(505) 247-4472
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4682
NM
Other
Enumeration date
07/29/2009
Last updated
06/16/2015
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