Provider First Line Business Practice Location Address:
201 CHINA GRADE LOOP
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:
93308-1707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-393-4333
Provider Business Practice Location Address Fax Number:
661-393-4343
Provider Enumeration Date:
10/26/2009