Individual
MRS. CRYSTAL VANESA AYAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 RIVER PL STE 200, BRASELTON, GA 30517-5603
(770) 848-6140
Mailing address
743 SPRING ST NE REAR 710, GAINESVILLE, GA 30501-3899
(770) 219-8730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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