Individual
ANA RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 FLANDRO DR, SUITE 190, POCATELLO, ID 83202-4912
(208) 233-2248
(208) 233-0219
Mailing address
1800 FLANDRO DR, SUITE 190, POCATELLO, ID 83202-4912
(208) 233-2248
(208) 233-0219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1065
ID
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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