Individual
MR. RAY J MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1908 N PRINCE ST, CLOVIS, NM 88101-4857
(575) 769-7766
(575) 769-7015
Mailing address
1908 N. PRINCE STREET, CLOVIS, NM 88101
(575) 769-7766
(575) 769-7015
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
164267
NM
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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