JACK ANTHONY AYALA

ALBUQUERQUE, NM
NPI1568762805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-11-02
Last Update Date2010-11-02
Business Address
Mr. JACK ANTHONY AYALA
1225 4TH ST NW
ALBUQUERQUE, NM 87102-1414
Phone number: 505-212-7363
Mailing Address
Mr. JACK ANTHONY AYALA
1225 4TH ST NW
ALBUQUERQUE, NM 87102-1414
Phone number: 505-212-7363
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