JONATHAN IRVING AYALA BRISENO

HUNTINGTON PARK, CA
NPI1548915952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2022-02-14
Last Update Date2022-02-14
Business Address
JONATHAN IRVING AYALA BRISENO
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Mailing Address
JONATHAN IRVING AYALA BRISENO
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: