Individual
KRYSTAL BACICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 W FRONTAGE RD APT E4101, RIO RICO, AZ 85648-6346
(520) 313-9789
Mailing address
1271 W FRONTAGE RD APT E4101, RIO RICO, AZ 85648-6346
(520) 313-9789
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
DOU212
AZ
374J00000X
Doula
Primary
—
AZ
Other
Enumeration date
10/22/2025
Last updated
01/16/2026
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