Graduated: 2020
NPI: 1477053338
Practice Locations (2)
DESERT SENITA COMMUNITY HEALTH CENTER
410 N MALACATE ST
AJO, AZ 853212254
52038756513007
GILA RIVER HEALTH CARE CORPORATION
17487 S HEALTH CARE DR, HU HU KAM MEMORIAL HOSPITAL
LAVEEN, AZ 853390038
5205506000
Source: CMS National Downloadable File, September 2026.