Graduated: 2010
NPI: 1376864215
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
12550 HESPERIA RD, SUITE 100
VICTORVILLE, CA 923955873
7602416666
URGENT CARE NEVADA LLC
6440 CENTENNIAL CTR BLVD, SUITE 110
LAS VEGAS, NV 891494797
7029018320
Source: CMS National Downloadable File, September 2026.