BRENTON BACA

BELEN, NM
NPI1063866622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NM  507226914)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
Mr. BRENTON BACA
55 JARAMILLO RD
BELEN, NM 87002-7335
Phone number: 505-604-9956
Mailing Address
Mr. BRENTON BACA
55 JARAMILLO RD
BELEN, NM 87002-7335
Phone number:
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