Provider Demographics
NPI:1740011329
Name:AYALA, JENIFFER ELIZABETH
Entity type:Individual
Prefix:
First Name:JENIFFER
Middle Name:ELIZABETH
Last Name:AYALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2296 N MAIN ST APT 63
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-1530
Mailing Address - Country:US
Mailing Address - Phone:831-540-7303
Mailing Address - Fax:
Practice Address - Street 1:1929 OXFORD CT
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2184
Practice Address - Country:US
Practice Address - Phone:831-771-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator