Most Relevant Information
Provider Data
| NPI Number: | 1003439050 |
| Provider Name: | MARIELA AYALA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/26/2020 |
| Last Updated: | 05/26/2020 |
Provider Practice Location
10425 PAINTER AVE
SANTA FE SPGS
CA
906703429
Practice Location Phone/Fax
| Phone: | 5629062685 |
| Fax: |
Provider Mailing Location
10425 PAINTER AVE
SANTA FE SPGS
CA
906703429
Provider Mailing Phone/Fax
| Phone: | 5629062685 |
| Fax: |