Graduated: 2024
NPI: 1760201008
Practice Locations (2)
WESTERN SIERRA MEDICAL CLINIC INC
PO BOX, SUITE 286
DOWNIEVILLE, CA 959360286
CHAPA-DE INDIAN HEALTH PROGRAM, INC.
1350 E MAIN ST
GRASS VALLEY, CA 959455208
5304778545
Source: CMS National Downloadable File, September 2026.