Individual
MS. MOLLIE YVONNE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1514 CESAR CHAVEZ, SAN ANTONIO, TX 78210-9648
(210) 364-8377
Mailing address
1124 E DREXEL AVE, SAN ANTONIO, TX 78210-3133
(210) 634-8377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4435
TX
Other
Enumeration date
09/14/2009
Last updated
07/21/2022
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