Provider First Line Business Practice Location Address:
6647 MING 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:
93309-3491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-837-2225
Provider Business Practice Location Address Fax Number:
661-837-2233
Provider Enumeration Date:
07/13/2006