Individual
CHRISTOPHER BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 206-2798
Mailing address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 206-2798
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
01/29/2019
Last updated
08/11/2023
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