Provider First Line Business Practice Location Address:
3917 ASINO AVE
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:
93313-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-522-7223
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2009