Individual
SHYNALEE NATIVIDAD AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 WESLEY CLUB DR, DECATUR, GA 30034-2328
(678) 595-4004
Mailing address
410 WESLEY CLUB DR, DECATUR, GA 30034-2328
(678) 595-4004
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030053438
GA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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