Provider First Line Business Practice Location Address:
26316 FRIENDLY VALLEY PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWHALL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-251-2300
Provider Business Practice Location Address Fax Number:
661-251-2343
Provider Enumeration Date:
10/03/2006