Graduated: 2019
NPI: 1376215970
Practice Locations (2)
COUNTY OF SAN JOAQUIN
1209 W TOKAY ST, SUITE 5
LODI, CA 952403845
2093312070
PSYNERGY PROGRAMS, INC.
18217 HALE AVE
MORGAN HILL, CA 950373550
4084658280
Source: CMS National Downloadable File, September 2026.