Individual
GEORGE LUCAS CALABAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 EAGLE CT, SANTO DOMINGO PUEBLO, NM 87052-1230
(505) 465-2633
Mailing address
21 EAGLE CT, SANTO DOMINGO PUEBLO, NM 87052-1230
(505) 465-2633
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1889
NM
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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