New Mexico
Regulation & Licensing Department
Jerome Wayne Baca
Physician Assistant - Medical
License number
PA2012-0025
Date granted
07/20/2012
Date expires
03/01/2015
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5274912
LAST UPDATED 2024-04-20 04:43:46 UTC
LAST UPDATED 2024-04-20 04:43:46 UTC
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