Individual
TERRI AYALAABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2646 LA CHAR DR, HOLTS SUMMIT, MO 65043-1144
(573) 491-1125
(573) 491-1130
Mailing address
2646 LA CHAR DR, HOLTS SUMMIT, MO 65043-1144
(573) 491-1125
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
LC014609086
MO
Other
Enumeration date
03/03/2025
Last updated
06/30/2025
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