Individual
MS. ELISABETH AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SIERRA CT STE B6, PALMDALE, CA 93550-7608
(661) 274-0770
Mailing address
190 SIERRA CT STE B6, PALMDALE, CA 93550-7608
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/17/2009
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