Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
Offers telehealth
NPI: 1982340816
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1111 S 2ND AVE
WALLA WALL, WA 993624118
5098973700
Source: CMS National Downloadable File, September 2026.