Graduated: 2018
NPI: 1801391040
Practice Locations (2)
ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION
2 SCRIPPS DR, SUITE 202
SACRAMENTO, CA 958256207
9164363015
PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC
243 N RD
POUGHKEEPSIE, NY 126011173
Source: CMS National Downloadable File, September 2026.