Individual
MR. JOHNNY RAY CRAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (R) (ARRT)
Contact information
Practice address
311 LOS LENTES RD SE, LOS LUNAS, NM 87031-9224
(916) 821-7919
(505) 565-2272
Mailing address
16 SHEBA PL, LOS LUNAS, NM 87031-7021
(916) 821-7919
(505) 565-2272
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
325224
NM
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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