Individual
ADAM AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1906
Mailing address
24 MOUNT VERNON ST UNIT 407, LYNN, MA 01901-1451
(407) 310-9493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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