Graduated: 2023
NPI: 1285481036
Practice Locations (3)
400 E RIVULON BLVD, SUITE 103
GILBERT, AZ 852970096
PO BOX, SUITE 65695
UNIVERSITY PLACE, WA 98464
PO BOX, SUITE 65695
UNIVERSITY PLACE, WA 984641695
Source: CMS National Downloadable File, September 2026.