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Individual

SANTIAGO M. AYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 278-5290
Mailing address
929 N VAL VISTA DR STE 109-151, GILBERT, AZ 85234-3706

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAZC-16868
AZ

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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