Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2026
NPI: 1205768249
Practice Locations (3)
PO BOX, SUITE 1690
BONNERS FERRY, ID 83805
PO BOX J
RAYNHAM, MA 02767
577 KNAPP RD
Colville, WA 991149258
Source: CMS National Downloadable File, September 2026.