Graduated: 2011
NPI: 1538445663
Practice Locations (4)
1390 E LASSEN AVE
CHICO, CA 959737823
PO BOX, SUITE 398794
SAN FRANCISCO, CA 941398794
238 HOSPITAL DR, SUITE A
UKIAH, CA 954824559
PO BOX, SUITE 689022
FRANKLIN, TN 37067
Source: CMS National Downloadable File, September 2026.