AMANDA JO BACA

GRANTS, NM
NPI1679442669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH2920)
Enumeration Date2025-10-30
Last Update Date2025-10-30
Business Address
AMANDA JO BACA
710 E SANTA FE
GRANTS, NM 87020-3926
Phone number: 505-350-6046
Mailing Address
AMANDA JO BACA
1611 TERRACE LOOP
GRANTS, NM 87020-3926
Phone number: 505-350-6046