ANTHONY JACOB BACA

LAS VEGAS, NV
NPI1720398159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-10-19
Last Update Date2010-10-19
Business Address
-- ANTHONY JACOB BACA
5105 SMOKE RANCH RD
LAS VEGAS, NV 89108-3536
Phone number: 702-638-0395
Mailing Address
-- ANTHONY JACOB BACA
5105 SMOKE RANCH RD
LAS VEGAS, NV 89108-3536
Phone number: 702-638-0395
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