Graduated: 2000
NPI: 1790764843
Practice Locations (2)
KINGMAN HEALTHCARE INC
3801 SANTA ROSA DR, SUITE 400
KINGMAN, AZ 864012311
9286818750
HEALTHY LIFE CORPORATION
4338 W THOMAS RD, SUITE 116
PHOENIX, AZ 850313878
6233857900
Source: CMS National Downloadable File, September 2026.