Individual
JUAN PABLO BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3949 FLAMINGO DR, EL PASO, TX 79902-1726
(915) 309-8699
Mailing address
3949 FLAMINGO DR, EL PASO, TX 79902-1726
(915) 309-8699
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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