Graduated: 2018
NPI: 1407416480
Practice Locations (3)
LONG TERM CARE MEDICAL GROUP, INC
650 W ALLUVIAL AVE
CLOVIS, CA 936116716
5593236200
JKW HEALTHCARE
1303 E HERNDON AVE
FRESNO, CA 937203309
5599421223
SAINT AGNES MEDICAL FOUNDATION
4770 W HERNDON AVE, SUITE 111
FRESNO, CA 937228401
5594502273
Source: CMS National Downloadable File, September 2026.