Individual
JOHNNY RAY FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-8367
Mailing address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-2370
(575) 542-8367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
06/08/2015
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