Graduated: 2012
NPI: 1902167901
Practice Locations (3)
LAST FRONTIER HEALTHCARE DISTRICT
1111 N NAGLE ST
ALTURAS, CA 961013840
LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
925 BEVINS CT
LAKEPORT, CA 954539754
70726383821204
DOCS MEDICAL GROUP INC
100 E CYPRESS AVE
REDDING, CA 960020162
5307221111
Source: CMS National Downloadable File, September 2026.