Graduated: 1992
NPI: 1841280435
Practice Locations (2)
LAST FRONTIER HEALTHCARE DISTRICT
1111 N NAGLE ST
ALTURAS, CA 961013840
LAST FRONTIER HEALTHCARE DISTRICT
120 S MAIN ST, SUITE A
ALTURAS, CA 961014086
5302337054
Source: CMS National Downloadable File, September 2026.