Medical school: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated: 2019
NPI: 1932763547
Practice Locations (5)
82768 KINGSBORO LN
Indio, CA 922019678
180 VIA VERDE, SUITE 100
San Dimas, CA 917733993
180 VIA VERDE, SUITE 100
SAN DIMAS, CA 917733989
PO BOX, 5299 MS 1313 5 PCO
TACOMA, WA 984150299
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.