Provider First Line Business Practice Location Address:
2701 CHESTER AVE
Provider Second Line Business Practice Location Address:
202
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-2016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-716-9410
Provider Business Practice Location Address Fax Number:
661-716-9415
Provider Enumeration Date:
10/08/2008