MYLENE PALENCIA FERNAN

HAWTHORNE, CA
NPI1134408560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: CA  38102)
Enumeration Date2011-08-16
Last Update Date2011-08-16
Business Address
-- MYLENE PALENCIA FERNAN RDA
12730 HAWTHORNE BLVD SUITE D
HAWTHORNE, CA 90250-3919
Phone number: 310-644-4000
Mailing Address
-- MYLENE PALENCIA FERNAN RDA
1014 COTA AVE APT 3
TORRANCE, CA 90501-2166
Phone number: 310-291-8414