Individual
JOHNNY KRYNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12300 FT. MCCLANE ROAD, RADIUM SPRINGS, NM 88054
(575) 635-0559
Mailing address
PO BOX 385, 12300 FT. MCCLANE ROAD, RADIUM SPRINGS, NM 88054-0385
(575) 635-0559
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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