NPI 1003585647
Gabriela Baca
Practice location
- Address
- 1500 S Avenue K Station 3, Shroc, Portales, NM 88130
- Phone
- (505) 927-8228
- Mailing address
- 1500 S Avenue K, Portales, NM 88130-7400
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003585647
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Sep 2021
- Record last updated
- 8 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.