Individual
CARLOS M AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2290 CAMINITO PESCADO UNIT 51, SAN DIEGO, CA 92107-1954
(619) 243-9147
Mailing address
2290 CAMINITO PESCADO UNIT 51, SAN DIEGO, CA 92107-1954
(619) 243-9147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95192524
CA
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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