Graduated: 2024
NPI: 1558193102
Practice Locations (3)
5115 N DYSART RD 202 PMB, SUITE 613
LITCHFIELD PARK, AZ 853403036
8230 E BROADWAY BLVD, SUITE W2
TUCSON, AZ 857104002
1210 8TH AVE S
EDMONDS, WA 980206606
Source: CMS National Downloadable File, September 2026.