Graduated: 1993
Offers telehealth
NPI: 1639349020
Practice Locations (3)
8372 HWY 4
JEMEZ PUEBLO, NM 870249727
5052493289
17482 HWY 4, P O BOX 573
JEMEZ SPRING, NM 870250573
PO BOX, SUITE 573
JEMEZ SPRINGS, NM 870250573
Source: CMS National Downloadable File, September 2026.