Individual
DR. STACEY KIM RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
200 QUEEN ST, SOUTHINGTON, CT 06489-1901
(860) 621-2225
(860) 621-2868
Mailing address
200 QUEEN ST, SOUTHINGTON, CT 06489-1901
(860) 621-2225
(860) 621-2868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000938
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124979
AETNA/USHEALTHCARE
—
01
—
050000938CT01
BLUE CROSS
CT
01
—
0V1745
LANDMARK
CT
01
—
954
UNITED HEALTHCARE
—
01
—
P414597
OXFORD
—
Enumeration date
10/20/2005
Last updated
09/10/2012
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