Search › Florida › 101YM0800X
Marly Ayala-Icaza, MH14786
NPI 1821412230 · on the registry since 2014
Practice
- Address
- 3500 El Conquistador Pkwy Apt 259
Apt 259
Bradenton, FL 34210 - Phone
- (954) 806-3698
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida