Individual
JIMMY AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10447 LANARK ST, SUN VALLEY, CA 91352-4136
(818) 389-7211
Mailing address
6544 CHANNING DR, NORTH HIGHLANDS, CA 95660-4058
(818) 389-7211
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77195
CA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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