Graduated: 2020
NPI: 1265234132
Practice Locations (4)
134 N 4TH ST OFC, SUITE 2010
Brooklyn, NY 112493296
2211 46TH AVE SW
Seattle, WA 981162117
2211 46TH AVE SW
SEATTLE, WA 981162117
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.