Graduated: 1986
Offers telehealth
NPI: 1750449625
Practice Locations (4)
PO BOX, SUITE 35
Santa Ysabel, CA 920700035
30240 HWY 78
SANTA YSABEL, CA 920700035
7607653578
30240 HWY 78
SANTA YSABEL, CA 920709733
7604406900
PO BOX, SUITE 35
SANTA YSABEL, CA 920700035
Source: CMS National Downloadable File, September 2026.