Provider First Line Business Practice Location Address:
7311 ROSEDALE HWY
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:
93308-5738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-332-4412
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/09/2007