Individual
ALYSSA NIKOL AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 PUDDING STONE WAY, PHILLIPSBURG, NJ 08865-2070
(908) 763-7462
Mailing address
117 PUDDING STONE WAY, PHILLIPSBURG, NJ 08865-2070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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