Graduated: 2007
NPI: 1174790224
Practice Locations (2)
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
733 CEDAR ST
GARBERVILLE, CA 955423201
70792339211276
VITUITY-CALIFORNIA OBSERVATION SERVICES PC
1 MEDICAL PLAZA DR
ROSEVILLE, CA 956613037
9167811000
Source: CMS National Downloadable File, September 2026.