Most Relevant Information
Provider Data
NPI Number: | 1003587858 |
Provider Name: | RAYDA ANAYA-SOTO |
Entity Type: | Individual |
Taxonomy Code: | 103TC0700X |
Specialty: | Psychologist |
License Number: | 11040 |
Most Important Dates
Enumeration Date: | 09/22/2021 |
Last Updated: | 12/08/2021 |
Provider Practice Location
11650 IBERIA PL STE 130
SAN DIEGO
CA
921282431
Practice Location Phone/Fax
Phone: | 8582645858 |
Fax: | 8586496012 |
Provider Mailing Location
1550 11TH ST NE APT D5
WINTER HAVEN
FL
338812660
Provider Mailing Phone/Fax
Phone: | |
Fax: |