ANDRES AYALA

DETROIT, MI
NPI1407307655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704239781)
Enumeration Date2016-10-21
Last Update Date2016-10-21
Business Address
-- ANDRES AYALA NP.
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
Mailing Address
-- ANDRES AYALA NP.
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920