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Luciano Calabaza, LADAC

NPI 1306046487 · on the registry since 2007 · sole proprietor

Practice

Address
10 Tesuque St
Santo Domingo Pueblo, NM 87052
Phone
(505) 465-2733
Fax
(505) 465-0433

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-18

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