Individual
RANS SHAAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 BALLARD ST, EL CAJON, CA 92019-2124
(619) 792-2636
Mailing address
520 BALLARD ST, EL CAJON, CA 92019-2124
(619) 792-2636
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474947809
—
CA
Enumeration date
05/03/2019
Last updated
05/03/2019
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