ANTHONY L BACA

SOCORRO, NM
NPI1508170408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-08-03
Last Update Date2010-08-03
Business Address
-- ANTHONY L BACA
1200 HIGHWAY 60
SOCORRO, NM 87801-3914
Phone number: 575-835-2444
Mailing Address
-- ANTHONY L BACA
1200 HIGHWAY 60
SOCORRO, NM 87801-3914
Phone number: 575-835-2444