GENESIS NICOLE AYALA LOPEZ

BOSTON, MA
NPI1639721319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: MA  3014767)
Additional Taxonomies208000000X Pediatrics
(Licence: PR  35141)
208000000X Pediatrics
(Licence: PR  022419)
Enumeration Date2019-07-12
Last Update Date2023-09-13
Business Address
GENESIS NICOLE AYALA LOPEZ
725 ALBANY ST FL 8
BOSTON, MA 02118-3549
Phone number: 617-414-4841
Mailing Address
GENESIS NICOLE AYALA LOPEZ
801 ALBANY ST
BOSTON, MA 02119-2560
Phone number: