Jay Allen Longino, CRNFA Valid NPI

Individual provider · Surgical Technologist · Amarillo, TX

NPI

1427384684

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

577874 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-10-22

Last updated

2009-10-22