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Johnny Ray Long
Private Vehicle in Ruidoso Downs, New Mexico
NPI 1609386721

Johnny Ray Long is a Private Vehicle based in Ruidoso, NM. Johnny Ray Long practices in Ruidoso Downs, NM. The NPI Number for Johnny Ray Long is 1609386721 and holds a License No. (New Mexico).

The current practice location address for Johnny Ray Long is 102 Corral Rd, Ruidoso Downs, NM and can be reached out via phone at 575-973-1417.

Location: 102 Corral Rd, Ruidoso Downs, NM, 88355-8144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609386721
Provider Name
Johnny Ray Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Corral Rd, Ruidoso Downs, NM, 88355-8144
Phone Number
575-973-1417
Fax Number
Provider Enumeration Date
10/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Corral Rd
City
Ruidoso Downs
State
New Mexico
Zip
88346-9492
Phone Number
575-973-1417
Fax Number
person
Provider Business Mailing Address Details
Address
102 Corral Rd
City
Ruidoso Downs
State
New Mexico
Zip
88346-9492
Phone Number
575-973-1417
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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