Graduated: 2015
NPI: 1720182710
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST
FARMINGTON, NM 874015630
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
2701 HOSPITAL DR
VICTORIA, TX 779015749
3615739181
Source: CMS National Downloadable File, September 2026.