Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1997
NPI: 1285763615
Practice Locations (1)
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 923135172
9098641097
Source: CMS National Downloadable File, September 2026.