Provider First Line Business Practice Location Address:
1420 S CENTRAL AVE
Provider Second Line Business Practice Location Address:
GLENDALE MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91204-2508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-507-4656
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2012