JOHNNY RAY LANGE

SAN ANTONIO, TX
NPI1356550487
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  157145)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. JOHNNY RAY LANGE LVN
5507 ROYAL VISTA DR
SAN ANTONIO, TX 78247-4669
Phone number: 210-650-4794
Mailing Address
Mr. JOHNNY RAY LANGE LVN
5507 ROYAL VISTA DR
SAN ANTONIO, TX 78247-4669
Phone number: 210-650-4794
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