Provider First Line Business Practice Location Address:
6409 MING 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:
93309-6703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-834-4100
Provider Business Practice Location Address Fax Number:
661-834-4224
Provider Enumeration Date:
12/11/2007