SEVERO BACA

ALBUQUERQUE, NM
NPI1295359750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2020-06-01
Last Update Date2020-06-01
Business Address
SEVERO BACA
5600 GIBSON BLVD SE APT 144
ALBUQUERQUE, NM 87108-5391
Phone number: 505-404-8133
Mailing Address
SEVERO BACA
5600 GIBSON BLVD SE APT 144
ALBUQUERQUE, NM 87108-5391
Phone number:
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