Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1578736328
Practice Locations (2)
KND DEVELOPMENT 59 LLC
550 N MONTEREY AVE
ONTARIO, CA 917643318
9093910333
KND DEVELOPMENT 59 LLC
2800 BENEDICT DR
SAN LEANDRO, CA 945776840
5103578300
Source: CMS National Downloadable File, September 2026.