BEGIN:VCARD VERSION:3.0 FN:Joseph Ayuso N:Ayuso;Joseph;;; TITLE:Personal Care Attendant TEL;TYPE=WORK,VOICE:+17257453741 URL:https://www.gale.care/providers/nv/las-vegas/joseph-ayuso-1851100887 NOTE:NPI 1851100887. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1851100887 END:VCARD