Organization
MODERN CREATIONS CONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY F BACA CONTRACTOR (OWNER/CONTRACTOR)
(505) 720-8040
Entity
Organization
Contact information
Practice address
9716 TORRISO CT SW, ALBUQUERQUE, NM 87121-5280
(505) 720-8040
Mailing address
9716 TORRISO CT SW, ALBUQUERQUE, NM 87121-5280
(505) 720-8040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
94565
NM
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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