WILLIAM J BACA

ALBUQUERQUE, NM
NPI1568106342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: NM  1344)
Enumeration Date2022-04-26
Last Update Date2022-04-26
Business Address
WILLIAM J BACA CPSW
320 OSUNA RD NE STE H4
ALBUQUERQUE, NM 87107-5955
Phone number: 505-345-2778
Mailing Address
WILLIAM J BACA CPSW
5823 AVENIDA LA BARRANCA NW
ALBUQUERQUE, NM 87114-4823
Phone number: 505-261-1617