Most Relevant Information
Provider Data
| NPI Number: | 1003647983 |
| Provider Name: | BRENDA ZULEMA AYALA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 15481 |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
1337 S GILBERT RD STE 105
MESA
AZ
852046074
Practice Location Phone/Fax
| Phone: | 4805300890 |
| Fax: |
Provider Mailing Location
3409 S RURAL RD APT 113
TEMPE
AZ
852825422
Provider Mailing Phone/Fax
| Phone: | 4157487641 |
| Fax: |