Individual
RUBY MARLENE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 535-6239
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202201030
OR
164X00000X
Licensed Vocational Nurse
220374
CA
Other
Enumeration date
01/24/2022
Last updated
03/05/2024
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