Individual
MR. JAIME AYALA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 W VISTA WAY STE 407, VISTA, CA 92083-5714
(760) 758-1092
(760) 758-8481
Mailing address
550 W VISTA WAY STE 407, VISTA, CA 92083-5714
(760) 758-1092
(760) 758-8481
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-MQEUFG
CA
Other
Enumeration date
03/06/2023
Last updated
09/13/2023
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