Provider First Line Business Practice Location Address:
2020 NORTH CHESTER AVE
Provider Second Line Business Practice Location Address:
#B
Provider Business Practice Location Address City Name:
BAKERFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-397-0425
Provider Business Practice Location Address Fax Number:
661-392-7294
Provider Enumeration Date:
11/14/2007