Individual
MS. JILL MARIE AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
574 S SHASTA WAY, ORANGE, CA 92869-5242
(714) 633-7294
(714) 633-8016
Mailing address
574 S SHASTA WAY, ORANGE, CA 92869-5242
(714) 633-7294
(714) 633-8016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
914010
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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