Graduated: 2023
NPI: 1356107908
Practice Locations (4)
8001 SUNDANCE LN
LA PALMA, CA 906232112
12250 MONTES RD
LA MESA, NM 880449346
145 LYNN HAVEN DR
BEAVER, PA 150091335
3811 OHARA ST
PITTSBURGH, PA 152132597
Source: CMS National Downloadable File, September 2026.