Graduated: 2019
NPI: 1770133746
Practice Locations (4)
DE BACA FAMILY PRACTICE CLINIC
1001 SUMNER AVE, DE BACA FAMILY PRACTICE/ SBHC
FORT SUMNER, NM 881190349
5753554431
DE BACA FAMILY PRACTICE CLINIC
546 N 10TH ST
FORT SUMNER, NM 88119
5753552414
DE BACA FAMILY PRACTICE CLINIC
PO BOX, SUITE 349
FORT SUMNER, NM 88119
DE BACA FAMILY PRACTICE CLINIC
PO BOX, SUITE 349
FORT SUMNER, NM 881190349
Source: CMS National Downloadable File, September 2026.