Graduated: 2008
NPI: 1316174006
Practice Locations (7)
10652 S EASTERN AVE, SUITE A
HENDERSON, NV 890524953
2200 PASEO VERDE PKWY, SUITE 190
HENDERSON, NV 890522701
9126 W RICHMAR AVE
LAS VEGAS, NV 891786228
PO BOX
LAS VEGAS, NV 89133
PO BOX, SUITE 15645
LAS VEGAS, NV 89114
PO BOX, SUITE 36340
LAS VEGAS, NV 891336340
PO BOX, SUITE 772
WOONSOCKET, RI 02895
Source: CMS National Downloadable File, September 2026.