Individual
MARCY J. AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
330 CHILOQUIN BLVD., CHILOQUIN, OR 97624
(541) 882-1487
(541) 783-3273
Mailing address
3949 SOUTH 6TH ST., KLAMATH FALLS, OR 97603-4746
(541) 882-1487
(541) 882-1670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1016943
OR
Other
Enumeration date
12/28/2011
Last updated
10/01/2012
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