Individual
GUSTAVO AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7171 BOWLING DR STE 300, SACRAMENTO, CA 95823-2043
(916) 394-9195
(916) 392-2827
Mailing address
7171 BOWLING DR STE 300, SACRAMENTO, CA 95823-2043
(916) 394-9195
(916) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
02/12/2019
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