Individual
MRS. JOAN AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
007 CHOOSGAI DRIVE, TOHATCHI, NM 87325
(505) 733-8400
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
025433
PR
207V00000X
Obstetrics & Gynecology Physician
Primary
025433
PR
Other
Enumeration date
06/10/2008
Last updated
05/24/2016
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