Provider First Line Business Practice Location Address:
1524 27TH ST STE 101
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:
93301-2056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-869-6581
Provider Business Practice Location Address Fax Number:
661-321-2213
Provider Enumeration Date:
04/26/2007