Individual
DINESA LANETTE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15960 YARNELL ST, SYLMAR, CA 91342-1009
(818) 618-9850
Mailing address
15960 YARNELL ST, SYLMAR, CA 91342-1009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012348
CA
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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