Individual
HEATHER M AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25552 DARTMOUTH CIR, LAKE FOREST, CA 92630-5009
(714) 421-6407
Mailing address
25552 DARTMOUTH CIR, LAKE FOREST, CA 92630-5009
(714) 421-6407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
02/02/2023
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