Graduated: 2012
NPI: 1366783771
Practice Locations (2)
EL CENTRO FAMILY HEALTH
15136 STATE HWY 75, PENASCO CLINIC
PENASCO, NM 875530238
5755872205
EL CENTRO FAMILY HEALTH
604 CATRON AVE, WAGON MD CLINIC
WAGON MOUND, NM 877520063
5756662288
Source: CMS National Downloadable File, September 2026.