Johnny Ray Long
Johnny Ray Long is a Private Vehicle in Ruidoso Downs, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
102 Corral RdRuidoso Downs, NM 88346-9492
Phone: (575) 973-1417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X |
|---|
Record details
| NPI number | 1609386721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2017 |
| Last updated in NPPES | October 3, 2017 |
| Mailing address | Po Box 8144, Ruidoso, NM 88355-8144 |