Individual
AYLA VANDERGRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E FIRMIN ST STE 263, KOKOMO, IN 46902-2340
(765) 742-1800
Mailing address
700 E FIRMIN ST STE 263, KOKOMO, IN 46902-2340
(765) 742-1800
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
IN
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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