Provider First Line Business Practice Location Address:
23845 MCBEAN PARKWAY
Provider Second Line Business Practice Location Address:
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
VALENCIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-200-1480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2007