Johnny Ray Long
NPI #1609386721 in Ruidoso Downs, New Mexico
Provider Information
- NPI Number
- 1609386721
- Entity Type
- Individual
- Name
- Johnny Ray Long
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Oct 3, 2017
- Last Updated
- Oct 3, 2017
Practice Location
- Address
- 102 CORRAL RD
- City
- Ruidoso Downs
- State
- New Mexico
- ZIP Code
- 88346-9492
- Phone
- (575) 973-1417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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