Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 0101260956 | VA |
NPI | 1023369170 |
---|---|
Provider Name | Dr. Alondra Mali Ayala Jimenez |
First Address | Arlington, VA 22207-3558 |
Second Address | Arlington, VA 22207-3558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2012 |
Last Update Date | 26/10/2018 |