TISA A AYUSO

DULUTH, MN
NPI1851629448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MN  73136)
Additional Taxonomies2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CT  048692)
Enumeration Date2009-11-20
Last Update Date2023-01-24
Business Address
TISA A AYUSO D.O.
502 E 2ND ST
DULUTH, MN 55805-1913
Phone number: 218-786-8376
Mailing Address
TISA A AYUSO D.O.
5 PERRYRIDGE RD
GREENWICH, CT 06830-4697
Phone number: 203-863-3944