Provider First Line Business Practice Location Address:
4470 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:
93309-4800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-833-6135
Provider Business Practice Location Address Fax Number:
661-833-6538
Provider Enumeration Date:
10/01/2014