Individual
GABRIEL V AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
8051 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-5284
(505) 560-3645
Mailing address
8051 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-5284
(505) 560-3645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6660
NM
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/16/2020
Last updated
05/14/2021
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