Medical school: LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated: 1996
NPI: 1871637207
Practice Locations (2)
1350 BLAIR DR, SUITE HH
ODENTON, MD 211131113
1350 BLAIR DR, SUITE HH
ODENTON, MD 211131333
4106748605
Source: CMS National Downloadable File, September 2026.