Provider First Line Business Practice Location Address:
1818 NILES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93305-4910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-871-6060
Provider Business Practice Location Address Fax Number:
661-871-8553
Provider Enumeration Date:
01/19/2007