Individual
MR. CARLOS E BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2530 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-2330
(360) 384-3218
Mailing address
2530 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-2330
(360) 384-3218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000891
WA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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