-- SONJA R BACA -- R.D.
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1205958733- Provider Type
- Individual Provider (NPI-1)
- Credentials
- R.D.
- Status
- Active
Contact & Location
- Address
- 1910 REDROCK DR, GALLUP, NM, 873015682
- Phone
- (505) 863-7250
Specialties & Taxonomies
Dietitian, Registered
Primary License: NM #485