Graduated: 2022
NPI: 1336838119
Practice Locations (8)
PO BOX, SUITE 51473
Lafayette, LA 705051473
PO BOX
LAFAYETTE, LA 70505
515 S MOORE ST
BLUE EARTH, MN 560132158
824 N 11TH ST
MONTEVIDEO, MN 562651629
101 CARING WAY
REDWOOD FALLS, MN 562832624
1406 6TH AVE N
Saint Cloud, MN 563031900
407 HAMILTON ST
POTTSVILLE, PA 179013610
5000 COX RD
GLEN ALLEN, VA 230609263
Source: CMS National Downloadable File, September 2026.