Individual
DAVID AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1208
(909) 915-8723
Mailing address
524 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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