Provider First Line Business Practice Location Address:
2151 COLLEGE AVE
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:
93305-4113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-8131
Provider Business Practice Location Address Fax Number:
661-868-8088
Provider Enumeration Date:
08/05/2008