Provider Demographics
NPI:1548790223
Name:DRAYTON, HURIYYAH ONAY (LMT)
Entity Type:Individual
Prefix:
First Name:HURIYYAH
Middle Name:ONAY
Last Name:DRAYTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 246752
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-6752
Mailing Address - Country:US
Mailing Address - Phone:916-821-2477
Mailing Address - Fax:
Practice Address - Street 1:801 ALHAMBRA BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4432
Practice Address - Country:US
Practice Address - Phone:916-915-8992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPB12015-00116225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty