NM Licensed Acupuncturist 18213

NM Licensed Acupuncturist 18213 Information

NameTracey R Baca
License Number18213
Individual or OrganizationI
Address1209 Silver Avenue Sw
Albuquerque, NM 87102
License StatusInactive
License Original Issue Date7/30/2018
License Expiration Date7/31/2023
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouthwest Acupuncture College