Individual
MARY ELLEN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27867 SMYTH DR, #100, VALENCIA, CA 91355-6059
(661) 294-2229
Mailing address
27867 SMYTH DR, #100, VALENCIA, CA 91355-6059
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A95179
CA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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