Provider First Line Business Practice Location Address:
38600 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93551-4483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-545-7345
Provider Business Practice Location Address Fax Number:
915-545-7338
Provider Enumeration Date:
03/26/2014