Individual
CELIA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
600 B ST, 1570, SAN DIEGO, CA 92101-4520
(619) 615-0439
Mailing address
600 B ST, 1570, SAN DIEGO, CA 92101-4520
(619) 615-0439
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
216794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216794
LVN
CA
Enumeration date
03/26/2008
Last updated
03/26/2008
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