MARYLOU BACA

SANTA FE, NM
NPI1629938873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  85944)
Enumeration Date2025-11-12
Last Update Date2025-11-12
Business Address
MARYLOU BACA
707 PASEO DE PERALTA
SANTA FE, NM 87501-1922
Phone number: 505-989-8707
Mailing Address
MARYLOU BACA
707 PASEO DE PERALTA
SANTA FE, NM 87501-1922
Phone number: 505-577-4543
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