Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 1998
NPI: 1922148634
Practice Locations (2)
6445 PATS RANCH RD, SUITE D
MIRA LOMA, CA 917524439
6445 PATS RANCH RD D
MIRA LOMA, CA 917524439
9513713937
Source: CMS National Downloadable File, September 2026.