Provider First Line Business Practice Location Address:
2001 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:
93308-2654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-393-5836
Provider Business Practice Location Address Fax Number:
661-393-4075
Provider Enumeration Date:
03/05/2007