Provider First Line Business Practice Location Address:
1023 N CHESTER 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:
93308-3516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-399-5539
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2006