ANNETTE ANGELA BACA

BELEN, NM
NPI1003233172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  3073)
Enumeration Date2014-03-26
Last Update Date2014-03-26
Business Address
-- ANNETTE ANGELA BACA COTA/L
520 N MAIN ST
BELEN, NM 87002-3720
Phone number: 505-966-1104
Mailing Address
-- ANNETTE ANGELA BACA COTA/L
520 N MAIN ST
BELEN, NM 87002-3720
Phone number: 505-966-1104
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