Provider First Line Business Practice Location Address:
205 W. KERN AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCFARLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-792-2198
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2016