KATHY LESLIE BACA

PENASCO, NM
NPI1679440044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH4492)
Enumeration Date2025-10-21
Last Update Date2025-10-21
Business Address
KATHY LESLIE BACA RDH
201 K 2 BUFFALO TRAIL
PENASCO, NM 87553
Phone number: 575-251-8010
Mailing Address
KATHY LESLIE BACA RDH
99B STATE ROAD 73
VADITO, NM 87579-9000
Phone number: 575-251-8010
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