Graduated: 2011
NPI: 1235164047
Practice Locations (2)
SONORA COMMUNITY HOSPITAL
193 FAIRVIEW LN
SONORA, CA 953704828
2095365100
MARK TWAIN HEALTH CARE DISTRICT
51 WELLNESS WAY
VALLEY SPRINGS, CA 952529736
2097727070
Source: CMS National Downloadable File, September 2026.