Provider Information for 1073899365
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Ms. ANA RAYO LMFT
Other Names:Former Name:Miss ANA L RAYOSex: Female
NPI: 1073899365
Last Updated: 2021-11-11
Certification Date: 2021-11-11
Certification Date: 2021-11-11
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073899365 | ||||||||||||||
| Enumeration Date | 2011-10-31 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 11815 MODENA DR RANCHO CUCAMONGA, CA 91701 United States Phone: 909-446-2840 | Fax: | ||||||||||||||
| Primary Practice Address | 12815 HEACOCK ST MORENO VALLEY, CA 92553 United States Phone: 951-601-6261 | Fax: | ||||||||||||||
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