Provider Demographics
NPI:1346584182
Name:RAYO, HILLARY JANE (MLS)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:JANE
Last Name:RAYO
Suffix:
Gender:F
Credentials:MLS
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:JANE
Other - Last Name:EGGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 APOGEE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-4460
Mailing Address - Country:US
Mailing Address - Phone:808-499-9114
Mailing Address - Fax:
Practice Address - Street 1:34 APOGEE CIR
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-4460
Practice Address - Country:US
Practice Address - Phone:808-499-9114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
243164246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist