Individual
ERIC AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
3180 W CLEARWATER AVE, STE. F, KENNEWICK, WA 99336-2767
(509) 947-2688
Mailing address
3180 W CLEARWATER AVE, STE. F, KENNEWICK, WA 99336-2767
(509) 947-2688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60092694
WA
Other
Enumeration date
09/26/2009
Last updated
09/26/2009
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