JAVIER BACA

EAST LANSING, MI
NPI1366291510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: MI  5151017032)
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
JAVIER BACA DO
965 WILSON RD # A327
EAST LANSING, MI 48824-6410
Phone number: 517-355-1855
Mailing Address
JAVIER BACA DO
965 WILSON RD # A327
EAST LANSING, MI 48824-6410
Phone number:
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