Individual
INGRID AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(817) 226-8212
Mailing address
80 CHALAPA AVE UNIT 1, WOONSOCKET, RI 02895-2202
(817) 226-8212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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