Graduated: 2019
NPI: 1003103458
Practice Locations (2)
M A C T HEALTH BOARD INCORPORATED
13975 MONO WAY, SUITE J
SONORA, CA 953702824
2095339600
COMMUNITY HEALTH CLINICS INC
6855 W FAIRVIEW AVE
BOISE, ID 837048046
2083239600
Source: CMS National Downloadable File, September 2026.