Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1154426757
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
555 S SCHWARTZ AVE, BEHAVIORAL HEALTH SERVICES
FARMINGTON, NM 874015955
5056096680
Source: CMS National Downloadable File, September 2026.