BEGIN:VCARD VERSION:3.0 FN:Francisca Ayala N:Ayala;Francisca;;; TITLE:Homemaker TEL;TYPE=WORK,VOICE:+14028608997 URL:https://www.gale.care/providers/ne/madison/francisca-ayala-1881550812 NOTE:NPI 1881550812. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1881550812 END:VCARD