Graduated: 2023
NPI: 1093300196
Practice Locations (4)
3322 SANTA CLARA AVE SE
Albuquerque, NM 871061531
3322 SANTA CLARA AVE SE
ALBUQUERQUE, NM 871061531
4600 MONTGOMERY BLVD NE, SUITE A105
ALBUQUERQUE, NM 871091292
4600 MONTGOMERY BLVD NE, UNIT A SUITE 105
ALBUQUERQUE, NM 871091200
Source: CMS National Downloadable File, September 2026.