Graduated: 1999
NPI: 1982730271
Practice Locations (3)
COUNTY OF INYO
1360 N MAIN ST, SUITE 124
Bishop, CA 935143013
COUNTY OF INYO
1360 N MAIN ST
BISHOP, CA 935143013
COUNTY OF INYO
PO BOX H
INDEPENDENCE, CA 93526
Source: CMS National Downloadable File, September 2026.