Bernadine Baca

NPI 1588085500 · on the registry since 2013 · sole proprietor

Practice

Address: 714 Calle Don Diego
Espanola, NM 87532
Phone: (505) 367-3342
Organisation at this address: Espanola Public Schools
Espanola Public Schools
Espanola Public Schools
Espanola Valley High School
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 1041S0200X
1041S0200X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico