Graduated: 1991
NPI: 1851470132
Practice Locations (3)
2741 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 871062653
5055545015
601 SOLANO DR NE
ALBUQUERQUE, NM 871107793
13 SECLUSION CT
SANDIA PARK, NM 870479532
Source: CMS National Downloadable File, September 2026.