Graduated: 2016
NPI: 1780105072
Practice Locations (2)
MY KIDNEY CARE LLC
301 S LAKE ST, SUITE B
FARMINGTON, NM 874015603
5052788575
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SAN JUAN REGIONAL HOSPITALIST
FARMINGTON, NM 874015630
5056096463
Source: CMS National Downloadable File, September 2026.