RAUL ISRAEL AYALA I
Individual Provider (NPI-1)
Active
Chore Provider
Provider Information
- NPI Number
1669350815- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1400 P ST, GERING, NE, 693412749
- Phone
- (308) 641-4364
Specialties & Taxonomies
Chore Provider
Primary License: NE #000000000