Provider First Line Business Practice Location Address:
6019 NILES ST.
Provider Second Line Business Practice Location Address:
SUITE 3&4
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-363-0737
Provider Business Practice Location Address Fax Number:
661-363-5476
Provider Enumeration Date:
10/31/2006