Provider First Line Business Practice Location Address:
38656 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:
93551-4694
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-947-9977
Provider Business Practice Location Address Fax Number:
661-947-9988
Provider Enumeration Date:
09/04/2024