Individual
MR. JAY ALLEN LONGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
1901 MEDI PARK DR, BLDG D SUITE 2051, AMARILLO, TX 79106-2110
(806) 359-0718
(806) 359-9613
Mailing address
1901 MEDI PARK DR, BLDG D SUITE 2051, AMARILLO, TX 79106-2110
(806) 359-0718
(806) 359-9613
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
577874
TX
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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