Individual
MRS. GLADYS MARIE AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T
Contact information
Practice address
13330 FORT ST, SOUTHGATE, MI 48195-1137
(734) 309-6908
Mailing address
1530 OCONNOR AVE, LINCOLN PARK, MI 48146-1743
(313) 574-9219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
10/07/2013
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