Individual
CRISTOPHER AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE., TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
MAMC WINDOW SERVICE, 9040 JACKSON AVE., TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332930
TX
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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