Provider Demographics
NPI:1427713247
Name:AYALASOMAYAJULA, FRANCES (MPH)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:AYALASOMAYAJULA
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11615 EVERGOLD ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3823
Mailing Address - Country:US
Mailing Address - Phone:858-361-9581
Mailing Address - Fax:
Practice Address - Street 1:11615 EVERGOLD ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3823
Practice Address - Country:US
Practice Address - Phone:858-361-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-05
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374J00000X
251K00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No251K00000XAgenciesPublic Health or Welfare
No174H00000XOther Service ProvidersHealth Educator