Provider First Line Business Practice Location Address:
1822 N CHESTER 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:
93308-2565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-399-3337
Provider Business Practice Location Address Fax Number:
661-399-2926
Provider Enumeration Date:
08/09/2005