Individual
CHRISTOPHER MICHAEL BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 352-3405
Mailing address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 212-7393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
11/18/2011
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