NPI 1851697429

Raymond Maynes

Practitioner Health Maintenance Organization Albuquerque, NM

Practice location

Address: 1709 Moon St NE, Albuquerque, NM 87112-3935
Phone: (505) 271-0329
Mailing address: 3131 Adams St APT G83, Albuquerque, NM 87110

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1851697429
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2011
Record last updated: 31 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.