Provider First Line Business Practice Location Address:
4022 NILES ST STE A
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:
93306-4630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-872-7380
Provider Business Practice Location Address Fax Number:
661-872-7251
Provider Enumeration Date:
03/26/2007